Individual
MRS. JENNA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
54 HARVARD RD, PORTSMOUTH, VA 23701-2023
(949) 903-4279
Mailing address
54 HARVARD RD, PORTSMOUTH, VA 23701-2023
(949) 903-4279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000562
VA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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