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Individual

JESSICA KIDD LENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
320 DECKER DRIVE, IRVING, TX 75062-3999
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21569
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-16-21569
BEHAVIOR ANALYST CERTIFICATION BOARD - BCBA CERTIFICATION
01
1618
TEXAS DEPARTMENT OF LICENSING & REGULATION - LICENSED BEHAVIOR ANALYST (LBA)
TX
Enumeration date
05/19/2016
Last updated
11/04/2025
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