Most Relevant Information
Provider Data
| NPI Number: | 1003571654 |
| Provider Name: | JENNIFER BETH BRACKETT M.A. ED |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/08/2021 |
| Last Updated: | 11/08/2021 |
Provider Practice Location
50101 GOVERNORS DR STE 170
CHAPEL HILL
NC
275179257
Practice Location Phone/Fax
| Phone: | 9194497713 |
| Fax: |
Provider Mailing Location
50101 GOVERNORS DR STE 170
CHAPEL HILL
NC
275179257
Provider Mailing Phone/Fax
| Phone: | 9194497713 |
| Fax: |