Individual
JENNIFER BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
12656 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-7504
(703) 910-4362
(703) 910-4367
Mailing address
14396 WESTMINISTER LN APT 34, WOODBRIDGE, VA 22193-3059
(440) 320-4054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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