Provider Demographics
NPI:1457650756
Name:MILLER, JENNIFER LYNN KLEIN (MS, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN KLEIN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, BCBA, LABA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:53 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1951
Mailing Address - Country:US
Mailing Address - Phone:617-571-8117
Mailing Address - Fax:
Practice Address - Street 1:51 WATER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4611
Practice Address - Country:US
Practice Address - Phone:617-923-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst