Provider Demographics
NPI:1023524709
Name:SCHNAKENBERG, JENNIFER (BCBA, LBA, CMHC,LPCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHNAKENBERG
Suffix:
Gender:F
Credentials:BCBA, LBA, CMHC,LPCC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA, CMHC,LPCC
Mailing Address - Street 1:4881 S 1900 W
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-2920
Mailing Address - Country:US
Mailing Address - Phone:385-426-9644
Mailing Address - Fax:801-797-2630
Practice Address - Street 1:4881 S 1900 W
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-2920
Practice Address - Country:US
Practice Address - Phone:385-426-9644
Practice Address - Fax:801-797-2630
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7546534-6004101YM0800X, 101YM0800X
UT7546534-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst