Individual
DR. GRETCHEN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D, NCSP
Contact information
Practice address
15 SAUNDERS WAY WOODFORDS FAMILY SERVICES, WESTBROOK, ME 04092
(207) 232-7443
Mailing address
1 CRESCENT ST # 1, PORTLAND, ME 04102-3114
(207) 232-7443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1922
ME
103TS0200X
School Psychologist
31656
ME
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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