Provider Demographics
NPI:1447566641
Name:LENDERMAN, JENNIFER SCHLECHT (BCABA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SCHLECHT
Last Name:LENDERMAN
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-5675
Mailing Address - Country:US
Mailing Address - Phone:305-904-0399
Mailing Address - Fax:321-449-0920
Practice Address - Street 1:1680 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5675
Practice Address - Country:US
Practice Address - Phone:305-904-0399
Practice Address - Fax:321-449-0920
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst