Individual
JENNIFER WYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 770-7323
Mailing address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 770-7323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
01/07/2019
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