Jennifer Rebecca Janusas
Behavior Technician in Clearwater, FL. Individual provider (NPI-1).
NPI number1679050413
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1679050413
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Rebecca Janusas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2018
- Last updated
- Jul 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-18-57585 | FL | Yes |
Practice location
29228 Us Highway 19 NClearwater, FL 33761-2101
Phone 727-351-4191
Mailing address
14099 Belcher Rd S Lot 1086Largo, FL 33771-4519
Phone 386-361-1768
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