Individual
JENNIFER LYNN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
403 E OAK ST, YACOLT, WA 98675-5660
(360) 607-0148
Mailing address
403 E OAK ST, YACOLT, WA 98675-5660
(360) 607-0148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10200597
OR
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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