Individual
MRS. JENNIFER MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
675 MAIN ST, SUITE 19, LEWISTON, ME 04240-5802
(207) 212-6848
(207) 783-7474
Mailing address
675 MAIN ST, SUITE 19, LEWISTON, ME 04240-5802
(207) 212-6848
(207) 783-7474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16486
ME
Other
Enumeration date
06/26/2014
Last updated
09/20/2016
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