Individual
JENNIFER RODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PINE HOLLOW RD APT 6-7B, EAST NORWICH, NY 11732-1024
(631) 897-0893
Mailing address
600 PINE HOLLOW RD APT 6-7B, EAST NORWICH, NY 11732-1024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
01/10/2017
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