Individual
KRYSTA JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 W HUGHES ST, BALTIMORE, MD 21230-3653
(814) 880-2735
Mailing address
109 W HUGHES ST, BALTIMORE, MD 21230-3653
(814) 880-2735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA958.
MD
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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