Individual
MS. JENNIFER ELAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 MADISON ST SE, HUNTSVILLE, AL 35801-4419
(256) 755-4278
Mailing address
382 1ST ST, ALBERTVILLE, AL 35950-8603
(256) 738-5253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64700
AL
106S00000X
Behavior Technician
RBT-23-253854
AL
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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