Individual
JENNA LYNN TARAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 PIONEER DR, ROCHESTER, MI 48309-4482
(248) 370-3052
Mailing address
456 PIONEER DR, ROCHESTER, MI 48309-4482
(248) 370-3052
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
03/09/2026
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