Individual
JENNA MICHELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 S STAPLEY DR STE 119, MESA, AZ 85204-6675
(623) 263-3966
Mailing address
1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 99202-2954
(509) 999-5657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-63981
AZ
103K00000X
Behavior Analyst
Primary
BEH-001058
AZ
106S00000X
Behavior Technician
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Other
Enumeration date
08/05/2020
Last updated
06/11/2025
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