Individual
JENNA MARY ELIZABETH GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507A MINNESOTA ST N, RAINIER, WA 98576-9343
(951) 977-0199
Mailing address
507A MINNESOTA ST N, RAINIER, WA 98576-9343
(951) 977-0199
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.70131636
WA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
08/03/2026
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