Individual
JENELLE EYSE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 GRAND CENTRAL PKWY BLDG F, CONROE, TX 77304-3185
(936) 315-3787
Mailing address
1155 GRAND CENTRAL PKWY BLDG F, CONROE, TX 77304-3185
(936) 315-3811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6282
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/20/2021
Last updated
09/25/2023
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