Individual
JENNIFER L WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3457 82ND ST APT 2D, JACKSON HEIGHTS, NY 11372-2931
(646) 422-9610
Mailing address
3457 82ND ST APT 2D, JACKSON HEIGHTS, NY 11372-2931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001837
NY
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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