Individual
JENNA VANALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MILL RD, PALMYRA, WI 53156-9310
(262) 370-5527
(262) 495-8689
Mailing address
PO BOX 192, PALMYRA, WI 53156-0192
(262) 370-5527
(262) 495-8689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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