Individual
JENNIFER DIONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16861
—
Other
Enumeration date
09/12/2011
Last updated
01/06/2016
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