Individual
REBECCA DEVENNEY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
Mailing address
7500 PARKWOOD CT APT 101, FALLS CHURCH, VA 22042-7590
(610) 883-1943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001302
VA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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