Individual
MRS. JENNIFER WEST DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5364 FM 1960 RD E, HUMBLE, TX 77346-2502
(281) 852-0501
Mailing address
14411 BRIGHTON TRACE LN, HOUSTON, TX 77044-4436
(281) 852-0501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1020763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020763
BCBA
—
Enumeration date
06/16/2009
Last updated
06/16/2009
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