Individual
JENNA RAE LAIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
4906 E BROWN RD UNIT 1, MESA, AZ 85205-4263
(480) 216-6690
Mailing address
4906 E BROWN RD UNIT 1, MESA, AZ 85205-4263
(480) 216-6690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000650
AZ
Other
Enumeration date
10/13/2023
Last updated
09/16/2024
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