Individual provider · NPI-1

Jennifer Eileen Bade

Behavior Analyst · Lutz, FL

NPI number1891060844
StatusActive
Last updated in NPPESMar 8, 2012

Details

NPI
1891060844
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Eileen Bade
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2012
Last updated
Mar 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

4214 Sandy Shores Dr
Lutz, FL 33558-9700

Phone 813-310-4319

Mailing address

4214 Sandy Shores Dr
Lutz, FL 33558-9700

Phone 813-310-4319

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