Individual
JENNA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(614) 262-7520
(614) 352-2334
Mailing address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(615) 262-7520
(614) 352-2334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88739
OH
106S00000X
Behavior Technician
Primary
RBT-21-168449
IL
Other
Enumeration date
11/10/2022
Last updated
05/05/2026
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