Individual
JENA RENEE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11902 LAKESIDE DR, FISHERS, IN 46038-1308
(317) 288-5232
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
02/09/2023
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