Individual
JENNIFER A BENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
Mailing address
2401 W ALTA RD APT 2706, PEORIA, IL 61615-4608
(954) 540-6858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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