Individual
JENNIFER REYNAGA ACEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
Mailing address
200 ELFORD CT, SPARTANBURG, SC 29306-3250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74188
SC
106E00000X
Assistant Behavior Analyst
0-23-14777
SC
Other
Enumeration date
10/10/2023
Last updated
07/31/2024
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