Individual
JENNIFER ANN BARCELLONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3366 E TRIFECTA LN, BOISE, ID 83716-7195
(925) 858-1433
Mailing address
3366 E TRIFECTA LN, BOISE, ID 83716-7195
(925) 858-1433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57937
ID
Other
Enumeration date
02/16/2022
Last updated
01/17/2024
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