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Individual

JENNIFER CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1200
(304) 720-3383
Mailing address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1200
(304) 720-3383

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15832
WV

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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