Individual
ALBREANNA JAKEEVIA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 PALM COAST PKWY SW STE 6/7, PALM COAST, FL 32137-4739
(386) 951-3044
(386) 866-0540
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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