Individual
MS. JENNIFER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
2510 WESTCHESTER AVE, SUITE 102, BRONX, NY 10461-3512
(718) 597-5558
(718) 597-7277
Mailing address
2840 SEDGWICK AVE APT 6D, 6D, BRONX, NY 10468-2033
(917) 693-9134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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