Provider Demographics
NPI:1881955680
Name:POST, JENNIFER LYNN (BCBA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:POST
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:ODIERNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:360 ROUTE 101
Mailing Address - Street 2:SUITE 11
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5030
Mailing Address - Country:US
Mailing Address - Phone:603-471-2522
Mailing Address - Fax:877-754-5246
Practice Address - Street 1:360 ROUTE 101
Practice Address - Street 2:SUITE 11
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5030
Practice Address - Country:US
Practice Address - Phone:603-471-2522
Practice Address - Fax:877-754-5246
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-12-10221103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst