Individual
JENNIFER JENINE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11307 175TH ST., JAMAICA, NY 11433
(917) 470-2029
Mailing address
11307 175TH ST, JAMAICA, NY 11433-4142
(917) 470-2029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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