Individual
JENNA PAUKEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
10304 EATON PL STE 101, FAIRFAX, VA 22030-2238
(510) 738-7709
Mailing address
9160 BIG SPRINGS LOOP, BRISTOW, VA 20136-1289
(703) 819-4694
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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