Individual
JENNIFER NAYBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
628 PARK AVE STE 1D, CRANSTON, RI 02910-2165
(401) 228-8303
Mailing address
107 SHIRLEY CIR, WILLISTON, VT 05495-7360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
146.0134248
VT
103K00000X
Behavior Analyst
Primary
LBA00293
RI
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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