Individual
MS. JACQUELINE RENEA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4241 LOMAC ST, MONTGOMERY, AL 36106-2879
(334) 790-7460
Mailing address
4241 LOMAC ST, MONTGOMERY, AL 36106-2879
(334) 790-7460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51172
AL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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