Individual
JENNIFER LYNN MASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
90 STATE ST STE 700, ALBANY, NY 12207-1707
(718) 762-7633
(718) 886-8694
Mailing address
22 WINNIE ST, ALBANY, NY 12208-2012
(518) 428-4652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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