Individual provider · NPI-1

Jennifer Elain Collins

Behavior Analyst · Lithonia, GA

NPI number1922679273
StatusActive
Last updated in NPPESJul 8, 2021

Details

NPI
1922679273
Entity type
Individual (NPI-1)
Name
Jennifer Elain Collins
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2021
Certification date
Jun 10, 2021
Last updated
Jul 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

Lithonia Aba Therapy
5461 Hillandale Drive
Lithonia, GA 30058

Phone 470-361-2976

Mailing address

5060 Duval Point Way Sw
Snellville, GA 30039-7623

Phone 177-086-4664

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