Jennifer Sue Dodge, BACB499833
Jennifer Sue Dodge, BACB499833 is a Behavior Analyst in Mazama, Washington. Licensed in Washington. Registered with an NPI since 2021.
- Licensed in
- WA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
42 Lost River RdMazama, WA 98833-9707
Phone: (404) 247-4514
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-21-178990 (WA) |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X · Licence BACB499833 (WA) |
Record details
| NPI number | 1659941086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BACB499833 |
| Sole proprietor | No |
| NPI enumerated | June 28, 2021 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 5, 2021 |