Individual
JENNIFER K CHWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
711 MERRYTURN RD, MADISON, WI 53714-3427
(847) 606-5366
Mailing address
711 MERRYTURN RD, MADISON, WI 53714-3427
(847) 606-0536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1003-140
WI
106S00000X
Behavior Technician
16-24996
IL
Other
Enumeration date
05/23/2018
Last updated
07/12/2022
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