Individual
JARROD FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 290-7319
Mailing address
429 KENNEDY ST NE, WASHINGTON, DC 20011-2648
(202) 597-2473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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