Organization
EMPOWERING MINDS 4 CHANGE, LLC
Active
Other names
Empowering Minds 4 Change, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CLEMENTS BCBA, LBA TLLP (BOARD CERTIFIED BEHAVIOR ANALYST)
(248) 704-4751
Entity
Organization
Contact information
Practice address
4301 STRETTON FARM CT, WOODBRIDGE, VA 22192-5564
(571) 580-9160
Mailing address
4301 STRETTON FARM CT, WOODBRIDGE, VA 22192-5564
(571) 580-9160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/21/2021
Last updated
09/14/2023
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