Individual
JENNIFER MAKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
23 WARE ST, WEST BROOKFIELD, MA 01585-3137
(508) 963-2213
Mailing address
52 CLOVER SPRINGS DR, WILLINGTON, CT 06279-1846
(508) 831-8753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2253
MA
103K00000X
Behavior Analyst
1102
CT
Other
Enumeration date
03/03/2008
Last updated
01/22/2025
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