Individual
JENNIFER MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
920 W PRAIRIE DR, SYCAMORE, IL 60178-3123
(815) 501-9616
Mailing address
1763 BRICKVILLE RD, SYCAMORE, IL 60178-8639
(815) 501-1568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
03/07/2023
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