NPI 1184353419

Jenesse Robotham, BCABA

Practitioner Behavior Analyst Montgomery, AL

Practice location

Address: 2361 Fairlane Dr, Montgomery, AL 36116-1633
Phone: (334) 790-7460

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 2023-080 (AL)

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Registry record

NPI: 1184353419
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2022
Record last updated: 15 Aug 2023

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.