Individual
JENA LYN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3001 N 3RD ST, PHOENIX, AZ 85012-3060
(480) 416-2507
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12046842
AZ
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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