Individual
BOBBI JEAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4609 GRAPE RD STE D1B, MISHAWAKA, IN 46545-8259
(574) 217-1624
(574) 889-9524
Mailing address
5776 GRAPE ROAD, PMB171, MISHAWAKA, IN 46545-4654
(574) 217-1624
(574) 889-9524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305151
IN
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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