Individual
MRS. JENNIFER LYN HERITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W LINDBERGH BLVD, UNIVERSAL CITY, TX 78148-4322
(210) 887-4681
Mailing address
122 W LINDBERGH BLVD, UNIVERSAL CITY, TX 78148-4322
(210) 887-4681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19646
TX
Other
Enumeration date
12/18/2023
Last updated
02/09/2024
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