Individual
JENNIFER FRATTARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GRAVEL PIKE STE 100, SCHWENKSVILLE, PA 19473-2364
(847) 293-6420
Mailing address
380 BUCHERT RD, POTTSTOWN, PA 19464-1002
(847) 293-6420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40572
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40572
ANY
PA
05
—
1-20-40572
—
PA
Enumeration date
04/22/2020
Last updated
04/22/2020
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