Individual
MRS. JENNIFER R. DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 IVY RD, MOHEGAN LAKE, NY 10547-1404
(929) 328-7769
Mailing address
1423 IVY RD, MOHEGAN LAKE, NY 10547-1404
(929) 328-7769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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