Individual
JENNIFER ANN MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 RAVENELLE RD, NORTH GROSVENORDALE, CT 06255-2017
(401) 309-6621
Mailing address
308 RAVENELLE RD, NORTH GROSVENORDALE, CT 06255-2017
(401) 309-6621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000850
MA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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