Individual
JENNIFER TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1272 BOND ST STE 100, NAPERVILLE, IL 60563-3084
(512) 772-4042
Mailing address
1272 BOND ST STE 100, NAPERVILLE, IL 60563-3084
(512) 772-4042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75401
IL
106S00000X
Behavior Technician
17-27773
—
Other
Enumeration date
10/29/2016
Last updated
09/04/2024
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