Individual
DELONTE TAVON JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 MONTGOMERY ST, ALEXANDRIA, VA 22314-1516
(571) 444-5047
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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