Jennifer Lee Sprouse

NPI #1447717541 in Fairborn, Ohio

Provider Information

NPI Number: 1447717541
Entity Type: Individual
Name: Jennifer Lee Sprouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 919 S CENTRAL AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-3804
Phone: (937) 878-4614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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