Jenna Polan

NPI #1710524582 in Islandia, New York

Provider Information

NPI Number: 1710524582
Entity Type: Individual
Name: Jenna Polan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2019
Last Updated: Nov 29, 2019

Practice Location

Address: 1737 VETERANS MEMORIAL HWY STE 1
City: Islandia
State: New York
ZIP Code: 11749-1529
Phone: (631) 479-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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