Individual
JENNIFER LYNN MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(954) 400-3251
Mailing address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71037
FL
Other
Enumeration date
04/19/2022
Last updated
03/11/2024
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