Jenny Tak
NPI #1508418922 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1508418922
- Entity Type
- Individual
- Name
- Jenny Tak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 15, 2019
- Last Updated
- Jul 15, 2019
Practice Location
- Address
- 3126 W SPRINGS DR APT F
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-3255
- Phone
- (469) 243-3659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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