Individual
JACLYN CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220
(614) 487-7805
Mailing address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.01130
OH
Other
Enumeration date
02/09/2011
Last updated
02/20/2025
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