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Individual

JENNIES DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(971) 762-4663
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
ABA-AB-10268901
OR
106E00000X
Assistant Behavior Analyst
Primary
OR
106S00000X
Behavior Technician
ABA-IN-10230693
OR

Other

Enumeration date
05/02/2024
Last updated
04/15/2026
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