Individual
JENNIFER JEAN WOODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
34 BROOKRIDGE DR, HENDERSON, NV 89052-6620
(702) 524-0441
Mailing address
34 BROOKRIDGE DR, HENDERSON, NV 89052-6620
(702) 524-0441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34809
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-34809
BCBA
NV
Enumeration date
10/04/2017
Last updated
06/22/2021
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