Individual
JENNA MARIE ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, COBA
Contact information
Practice address
6460 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459-2633
(937) 265-8151
Mailing address
1117 WESTOVER RD, XENIA, OH 45385-9063
(146) 448-8846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.00503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33340
BCBA CERTIFICATE
—
Enumeration date
02/05/2018
Last updated
12/06/2023
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