Individual
JENNIFER ANN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
45 SOCKANOSSET CROSS RD, CRANSTON, RI 02920-5529
(877) 943-8222
Mailing address
9 MILTON RD, BARRINGTON, RI 02806-1101
(401) 536-4210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00179
RI
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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