Individual
MS. JENELLE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.M
Contact information
Practice address
8740 FRANCIS LEWIS BLVD APT B48, QUEENS VILLAGE, NY 11427-2845
(347) 776-9395
Mailing address
8740 FRANCIS LEWIS BLVD APT B48, QUEENS VILLAGE, NY 11427-2845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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