Individual
COLLEEN JENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5447 E BEAUMONT CENTER BLVD, TAMPA, FL 33634-5210
(954) 866-5345
Mailing address
1763 BAYSHORE BLVD, DUNEDIN, FL 34698-3342
(704) 930-9647
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
FL
Other
Enumeration date
01/15/2015
Last updated
12/27/2024
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