Individual
MRS. JENNA MCSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
577 HEMLOCK ST APT 1F, BROOKLYN, NY 11208-3298
(347) 444-7395
Mailing address
12 E 12TH ST, LINDEN, NJ 07036-3309
(347) 444-7395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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