Individual
JENNIFER JUNE NIEBUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
Mailing address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/17/2019
Last updated
05/31/2022
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