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DR. MARYELLEN KOCH JENSEN, DC, MSED, BCBA, LBA

Active

DR. MARYELLEN KOCH JENSEN, DC, MSED, BCBA, LBA is a Behavior Analyst healthcare provider located in KIRKSVILLE, Missouri. NPI 1619191574 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · KIRKSVILLE, MO

Registration Details

NPI Number
1619191574
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.320895029188 yrs)
Last Updated
Oct 21, 2024
Licenses
2000148952 (MO)
2018037916 (MO)

Practice Information

Address
606 S HALLIBURTON ST
KIRKSVILLE, MO, 635013712
Browse MO providers · Browse ZIP 63501
Phone
6603411105
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in KIRKSVILLE, MO

Name Credential NPI
DR. BRANDON HERSCOVITCH PH.D., BCBA-D 1104120906
JAIMEE MILLER BCBA 1740703701
MCKENZIE GUNTER 1114519147
DARIEN ELIZABETH COMEAUX 1497331979
MOSSAB ALZHRANI 1720795792
EMILY ANN JENNINGS MSED, BCBA 1861241598
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.