Provider Demographics
NPI:1225708415
Name:JENNIFER JANEIRA
Entity Type:Organization
Organization Name:JENNIFER JANEIRA
Other - Org Name:PRESENCE LEARNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JANEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:EDM
Authorized Official - Phone:914-490-3746
Mailing Address - Street 1:12 HERALD ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2191
Mailing Address - Country:US
Mailing Address - Phone:914-490-3746
Mailing Address - Fax:
Practice Address - Street 1:12 HERALD ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2191
Practice Address - Country:US
Practice Address - Phone:914-490-3746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY744319949-00Medicaid