Individual
DR. JENNIFER LYNNE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1163 OLD COLONY RD UNIT 6, WALLINGFORD, CT 06492-1783
(203) 213-5953
Mailing address
1163 OLD COLONY RD UNIT 6, WALLINGFORD, CT 06492-1783
(203) 213-5953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4107
CT
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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