Individual
JENNIFER M KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(317) 520-8200
(317) 520-8200
Mailing address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(216) 278-0288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
09/24/2024
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