Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lack

Individual provider Behavior Analyst · NPI 1699480749

Jennifer Lack is a Behavior Analyst in Glendale, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

7114 65th Pl Apt 2R
Glendale, NY 11385-6325
Phone: (347) 724-9390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 002469-01 (NY)

Record details

NPI number1699480749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address7114 65th Pl Apt 2r, Glendale, NY 11385-6325

Other providers in Glendale