Individual
JENNIFER ANNE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3229 S CHEROKEE LN, WOODSTOCK, GA 30188-4461
(470) 499-2480
Mailing address
3229 S CHEROKEE LN, WOODSTOCK, GA 30188-4461
(470) 499-2480
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57164
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2020
Last updated
12/28/2021
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