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Individual

BRIANNA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3420 TOLEDO TER APT 232, HYATTSVILLE, MD 20782-4201
(410) 698-5193
Mailing address
3420 TOLEDO TER APT 232, HYATTSVILLE, MD 20782-4201

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11939819
MD
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
MD
Enumeration date
05/24/2018
Last updated
02/28/2022
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