Individual
JENNIFER S STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158
(262) 657-6453
(262) 671-5013
Mailing address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
08/02/2018
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