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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER IANNUCCILLI

Active Sole Proprietor

JENNIFER IANNUCCILLI is a Behavior Technician healthcare provider located in MONTAGUE, Michigan. NPI 1790524635 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MONTAGUE, MI

Registration Details

NPI Number
1790524635
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2024 (2.2329541795683 yrs)
Last Updated
May 21, 2024
Sole Proprietor
Yes

Practice Information

Address
5775 OLD CHANNEL TRL
MONTAGUE, MI, 494379301
Browse MI providers · Browse ZIP 49437
Phone
2317407497
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in MONTAGUE, MI

Name Credential NPI
KAYLA DIBBLE 1568345411
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.