Individual
JENNIFER ASHLYN HIMEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8415 EXPLORER DR STE 130, COLORADO SPRINGS, CO 80920-1034
(719) 900-5690
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51627
IL
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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