Individual
JENNIFER NICOLE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
33 WINDEMERE WAY, NASHUA, NH 03063-7009
(603) 275-8056
Mailing address
33 WINDEMERE WAY, NASHUA, NH 03063-7009
(603) 275-8056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-46969
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/14/2018
Last updated
10/20/2021
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