Individual
MRS. JENELLE MARIE MAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
34851 KENAI SPUR HWY STE 2, SOLDOTNA, AK 99669-7646
(401) 203-3110
Mailing address
777 N CRUSEY ST STE B108, WASILLA, AK 99654-7101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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