Provider Demographics
NPI:1134930613
Name:NORTON, JENNIFER WRAY (BCBA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:WRAY
Last Name:NORTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12544 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6238
Mailing Address - Country:US
Mailing Address - Phone:225-257-9574
Mailing Address - Fax:
Practice Address - Street 1:12544 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6238
Practice Address - Country:US
Practice Address - Phone:225-257-9574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst