Individual
JACQUELINE ANN FENERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
Mailing address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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