Individual
JENIFER K ZETLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BEHAVIOIRAL SCIEN
Contact information
Practice address
26 LONGSHANK CIR, EAST FALMOUTH, MA 02536-7906
(805) 478-0269
Mailing address
26 LONGSHANK CIR, EAST FALMOUTH, MA 02536-7906
(805) 478-0269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
171400000X
Health & Wellness Coach
Primary
168181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168181
YOGA ALLIANCE
CA
01
—
SA5310668
BEHAVIORAL THERAPIST
CA
Enumeration date
08/02/2021
Last updated
08/02/2021
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