Individual
JENA REBECCA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5153 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(804) 567-9115
Mailing address
5319 HUNT MASTER DR APT C, MIDLOTHIAN, VA 23112-2742
(804) 988-7572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004198
VA
Other
Enumeration date
10/29/2021
Last updated
12/18/2025
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