Individual
JENNIFER MAE GENDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
339 BOSTON POST RD, ORANGE, CT 06477-3560
(203) 799-4110
Mailing address
104 WOODSIDE GRN APT 2A, STAMFORD, CT 06905-4908
(203) 803-9946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
551
CT
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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