Individual
JENESSE ROBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2361 FAIRLANE DR, MONTGOMERY, AL 36116-1633
(334) 790-7460
Mailing address
2361 FAIRLANE DR, MONTGOMERY, AL 36116-1633
(334) 790-7460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023-080
AL
Other
Enumeration date
06/10/2022
Last updated
08/15/2023
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