Whalio Doctors

NPI 1003324906

Jacquelyn J Tenenzaph

Practitioner Behavior Analyst Melville, NY

Practice location

Address
225 Broadhollow Rd STE 402, Melville, NY 11747-4899
Phone
(631) 385-7780
Fax
(631) 385-7795
Mailing address
7000 Austin St, Forest Hills, NY 11375-1022

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 001417-1 (NY)

Registry record

NPI
1003324906
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Jan 2018
Record last updated
14 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.