Jennifer Lack

NPI # 

Practice Address:

7114 65Th Pl Apt 2R

Glendale, NY, 11385-6325

Practice Phone:

347-724-9390

License Number:

002469-01

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Analyst

Taxonomy Code:

103K00000X

Updated by NPPES on 1/23/2023. You can view the original data set for NPI # 1699480749 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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