Jennifer Coppedge

NPI #1003336512 in Lake City, Florida

Provider Information

NPI Number: 1003336512
Entity Type: Individual
Name: Jennifer Coppedge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 26, 2017
Last Updated: Jun 26, 2017

Practice Location

Address: 4158 W US HIGHWAY 90 STE 101
City: Lake City
State: Florida
ZIP Code: 32055-4883
Phone: (352) 284-6057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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