Individual
JESSICA RAE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
305 HARRISON ST SE STE 1A, LEESBURG, VA 20175-3729
(703) 496-7804
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003578
VA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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