Individual
JENNA SCANLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
107 S SPRING ST, BELLEFONTE, PA 16823-1335
(607) 425-3813
Mailing address
156 BRYNWOOD DRIVE, PORT MATILDA, PA 16870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002490
PA
106S00000X
Behavior Technician
BH002490
PA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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