Organization
JENNIFER LYNNE SIMON PHD
Active
Other names
Jennifer Lynne Smith PHD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNNE SMITH PH.D. (BEHAVIOR ANALYST-DOCTORAL)
(479) 206-3131
Entity
Organization
Contact information
Practice address
2107 NEW HAMPSHIRE ST, LAWRENCE, KS 66046-3047
(479) 206-3131
(855) 860-1954
Mailing address
2107 NEW HAMPSHIRE ST, LAWRENCE, KS 66046-3047
(479) 206-3131
(855) 860-1954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-06-3152
BOARD CERTIFIED BEHAVIOR ANALYST
—
05
—
10040792A
—
KS
01
—
12306660
CAQH
—
Enumeration date
06/13/2012
Last updated
01/07/2019
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