Individual
MS. JENNIFER SCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 978-4305
Mailing address
2418 BROWN ST, PHILADELPHIA, PA 19130-1918
(267) 231-0683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64146
PA
103K00000X
Behavior Analyst
12364146
PA
Other
Enumeration date
08/30/2021
Last updated
04/18/2023
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