Individual
JENNIFER R VANNARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 W PEORIA AVE, PHOENIX, AZ 85029-4608
(602) 926-7200
(602) 368-2730
Mailing address
4001 W LAWRENCE LN, PHOENIX, AZ 85051-3661
(602) 525-7384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000852
AZ
Other
Enumeration date
10/29/2019
Last updated
02/14/2024
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