Jennifer Michelle Bomalaski

NPI #1326585167 in Venice, Florida

Provider Information

NPI Number
1326585167
Entity Type
Individual
Name
Jennifer Michelle Bomalaski
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jan 31, 2017
Last Updated
Jan 31, 2017

Practice Location

Address
19503 S WEST VILLAGES PKWY
Address 2
SUITE 11
City
Venice
State
Florida
ZIP Code
34293-5106
Phone
(813) 720-7529

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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