Jennifer Jolly, BCBA Valid NPI
Individual provider · Behavior Analyst · Lake Charles, LA
- NPI
- 1609388107
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- L-243 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-10-25
- Last updated
- 2019-03-07
Practice location
2016 Oak Park Blvd
Lake Charles, LA 70601-7828
(337) 540-9737