Individual
MRS. JENIPHER A SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4801 MONTANO RD NW STE A2, ALBUQUERQUE, NM 87120-2423
(505) 336-0560
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8698
CA
Other
Enumeration date
06/19/2012
Last updated
07/05/2023
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