Individual
JENNIFER HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
206 NATHAN PL, MOUNT LAUREL, NJ 08054-2414
(856) 313-5195
Mailing address
206 NATHAN PL, MOUNT LAUREL, NJ 08054-2414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
NJ
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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