Individual
DR. JENNY ELLEN LA BARBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D, LBA
Contact information
Practice address
248 E 49TH ST, SUITE 1B, NEW YORK, NY 10017-1548
(917) 749-2403
(347) 527-9170
Mailing address
510 E 23RD ST, APT. 5B, NEW YORK, NY 10010-5012
(917) 749-2403
(347) 527-9170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000406
NY
103K00000X
Behavior Analyst
1-07-3960
NY
103TC0700X
Clinical Psychologist
018399
NY
Other
Enumeration date
08/05/2011
Last updated
02/02/2017
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