Individual
JENNA M INGISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E 56TH ST STE 1, KEARNEY, NE 68847-8621
(574) 387-4313
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-468979
IA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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