Most Relevant Information
Provider Data
| NPI Number: | 1003302506 |
| Provider Name: | JENNIFER E MENKO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 7401002135 |
Most Important Dates
| Enumeration Date: | 07/08/2018 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
44225 W 12 MILE RD STE C-106
NOVI
MI
483772640
Practice Location Phone/Fax
| Phone: | 2482773005 |
| Fax: |
Provider Mailing Location
44225 W 12 MILE RD STE C-106
NOVI
MI
483772640
Provider Mailing Phone/Fax
| Phone: | 2482773005 |
| Fax: |