Individual
JENNA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
311 DUKE SIMMS RD, BRANDON, FL 33511-7528
(813) 455-0594
Mailing address
311 DUKE SIMMS RD, BRANDON, FL 33511-7528
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/31/2019
Last updated
12/23/2024
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