Individual
MARIANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3715 MAIN ST, SUITE 101, BRIDGEPORT, CT 06606-3618
(203) 373-1696
(203) 373-9305
Mailing address
3715 MAIN ST, SUITE #101, BRIDGEPORT, CT 06606-3618
(203) 373-1696
(203) 373-9305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2282
CT
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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