Individual
DR. JENNIFER BROOKE HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., LPE, BCBA
Contact information
Practice address
611 COURT ST STE 1, CONWAY, AR 72032-5417
(501) 940-4435
Mailing address
5 TROXELL LN, CONWAY, AR 72034-9311
(501) 513-9007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TS0200X
School Psychologist
Primary
99-5E
AR
Other
Enumeration date
07/29/2009
Last updated
12/01/2011
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