Individual
JENIFER LYN EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
357 W 54TH ST, #33, NEW YORK, NY 10019-5135
(310) 890-3117
Mailing address
21282 BEACH BLVD APT 101, HUNTINGTON BEACH, CA 92648-5720
(310) 890-3117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-15233
BEHAVIOR ANALYST CERTIFICATION BOARD, INC
—
Enumeration date
08/25/2014
Last updated
10/27/2022
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