Individual
MS. JENNIFER MARIE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(970) 623-6369
Mailing address
11 OAKHILL DR, SANDIA PARK, NM 87047-9332
(970) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9563
—
Other
Enumeration date
06/10/2011
Last updated
10/14/2020
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