Individual
JENNA RENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
Mailing address
177 E COLORADO BLVD STE 200, PASADENA, CA 91105-1955
(844) 669-7827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
10/24/2025
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