Jennifer Long

NPI #1033621438 in Southlake, Texas

Provider Information

NPI Number: 1033621438
Entity Type: Individual
Name: Jennifer Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2017
Last Updated: Oct 26, 2017

Practice Location

Address: 2425 E SOUTHLAKE BLVD STE 100
City: Southlake
State: Texas
ZIP Code: 76092-6675
Phone: (817) 442-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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