Individual
MS. JENNIFER ROSE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RBT, QMHP-T
Contact information
Practice address
20566 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502-7221
(434) 239-4400
Mailing address
583 BEECHWOOD DR APT 7, LYNCHBURG, VA 24502-5762
(413) 887-8363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163925
VA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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