Provider Demographics
NPI:1659759694
Name:KLEIN, JENNA LINDSEY (BA, RBT)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:LINDSEY
Last Name:KLEIN
Suffix:
Gender:F
Credentials:BA, RBT
Other - Prefix:MS
Other - First Name:JENNA
Other - Middle Name:LINDSEY
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA, RBT
Mailing Address - Street 1:213 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3823
Mailing Address - Country:US
Mailing Address - Phone:561-471-1688
Mailing Address - Fax:
Practice Address - Street 1:213 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3823
Practice Address - Country:US
Practice Address - Phone:561-471-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist