Jennifer Correll

NPI #1003419672 in Moyock, North Carolina

Provider Information

NPI Number: 1003419672
Entity Type: Individual
Name: Jennifer Correll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 108 ROCKY TOP RD
City: Moyock
State: North Carolina
ZIP Code: 27958-9284
Phone: (757) 769-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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