Individual
JACQUELYN J TENENZAPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001417-1
NY
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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