Individual
MRS. JENNIFER L KORRECKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
625 N. UNION ST, KOKOMO, IN 46901-2907
(765) 252-0530
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
IN
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
IN
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-08-4413
BCBA CERTIFICATE
—
Enumeration date
04/03/2007
Last updated
07/21/2022
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