Individual
JENNIFER AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47582
—
103K00000X
Behavior Analyst
BACB465143
—
106S00000X
Behavior Technician
RBT-19-82338
PA
Other
Enumeration date
07/10/2019
Last updated
07/19/2021
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