Individual
JODI LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2952 LITTLE BETHEL RD, GREEN SEA, SC 29545-3729
(843) 733-2184
(843) 894-3610
Mailing address
142 VILLA GRANDE ST UNIT E, MYRTLE BEACH, SC 29579-9267
(631) 335-2090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-24-15434
SC
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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