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Richard Allen Jenner III, RBT

Behavior Technician in Lakeland, FL. Individual provider (NPI-1).

NPI number1497560874
StatusActive
Last updated in NPPESFeb 11, 2025

Details

NPI
1497560874
Entity type
Individual (NPI-1)
Name
Mr. Richard Allen Jenner III
Credential
RBT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 11, 2025
Certification date
Feb 11, 2025
Last updated
Feb 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician1248455FLYes

Practice location

2109 Country Bnd S
Lakeland, FL 33811-1383

Phone 863-812-3257

Mailing address

2109 Country Bnd S
Lakeland, FL 33811-1383

Phone 863-812-3257

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