Individual
MRS. JESSICA LYNN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
44 PATRICIA LN, HYDE PARK, NY 12538-2712
(845) 399-5301
Mailing address
44 PATRICIA LN, HYDE PARK, NY 12538-2712
(845) 399-5301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002020-01
NY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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