Individual
JENNIFER KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
2489 E OLIVINE RD, SAN TAN VALLEY, AZ 85143-4903
(562) 955-9928
Mailing address
2489 E OLIVINE RD, SAN TAN VALLEY, AZ 85143-4903
(562) 955-9928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-44645
BCBA CERTIFICATE
—
Enumeration date
04/16/2019
Last updated
12/05/2024
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