Individual
MICHELLE C JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
223 54TH ST NE, WASHINGTON, DC 20019-6625
(202) 246-8744
Mailing address
7980 AUDUBON AVE APT 102, ALEXANDRIA, VA 22306-3737
(804) 873-9310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
RBT-23-285878
VA
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/29/2014
Last updated
07/21/2023
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