Individual
JENNA BEDNAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP
Contact information
Practice address
4224 HOLLAND RD, 106, VIRGINIA BEACH, VA 23453-2345
(757) 416-5290
Mailing address
1217 NEW LAND DRIVE, VIRGINIA BEACH, VA 23453
(812) 374-2168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
03/17/2018
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