Provider Demographics
NPI:1518309335
Name:FELBER, JENNIFER M (PHD, BCBA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:FELBER
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2008
Mailing Address - Country:US
Mailing Address - Phone:716-629-3400
Mailing Address - Fax:716-799-8529
Practice Address - Street 1:415 N FRENCH RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2008
Practice Address - Country:US
Practice Address - Phone:716-629-3400
Practice Address - Fax:716-799-8529
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9795103K00000X
NYP95228103TC2200X
NY000432103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst