Jenna Kennison

NPI #1932646353 in Coalgate, Oklahoma

Provider Information

NPI Number: 1932646353
Entity Type: Individual
Name: Jenna Kennison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 23, 2017
Last Updated: Jan 23, 2017

Practice Location

Address: RR 4 BOX 2000
City: Coalgate
State: Oklahoma
ZIP Code: 74538-9677
Phone: (580) 579-3291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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