Individual
JENNIFER KATE YANAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA/LBA
Contact information
Practice address
23 SITTERLY RD, HALFMOON, NY 12065
(518) 899-9235
(518) 899-9315
Mailing address
23 SITTERLY RD., CLIFTON PARK, NY 12065
(518) 899-9235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000408
NY
174400000X
Specialist
1-09-5912
NY
Other
Enumeration date
10/26/2012
Last updated
11/19/2019
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