Jenna Vanallen
Individual provider Active NPI Behavior Analyst · Palmyra, WI
NPI 1235504689 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1235504689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 119 Mill Rd
Palmyra, WI 53156-9310 - Phone
- (262) 370-5527
- Fax
- (262) 495-8689
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
119 Mill Rd
Palmyra, WI 53156-9310
Mailing address
PO Box 192
Palmyra, WI 53156-0192
Phone (262) 370-5527
Other providers in Palmyra, WI
- Colleen A Ryan
- Shannon Seegers
- Amber Stroud
- Jennifer L Tison
- Kathleen Ann Turck
- Village of Palmyra
- Village Primary Care Providers LLC
All providers in Palmyra, WI · Behavior Analyst in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.