Jennifer Lack

NPI #1699480749 in Glendale, New York

Provider Information

NPI Number: 1699480749
Entity Type: Individual
Name: Jennifer Lack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 23, 2023
Last Updated: Jan 23, 2023

Practice Location

Address: 7114 65TH PL APT 2R
City: Glendale
State: New York
ZIP Code: 11385-6325
Phone: (347) 724-9390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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