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Jacquelyn J Tenenzaph

Behavior Analyst in Melville, NY. Individual provider (NPI-1).

NPI number1003324906
StatusActive
Last updated in NPPESJan 14, 2018

Details

NPI
1003324906
Entity type
Individual (NPI-1)
Name
Jacquelyn J Tenenzaph
Sex
Female
Sole proprietor
No
Enumeration date
Jan 14, 2018
Last updated
Jan 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst001417-1NYYes

Practice location

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

Phone 631-385-7780 · Fax 631-385-7795

Mailing address

7000 Austin St
Forest Hills, NY 11375-1022

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