Individual
JENNA HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(844) 743-6506
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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