Most Relevant Information
Provider Data
| NPI Number: | 1003579079 |
| Provider Name: | JENNIFER MEDARAC |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-21-53978 |
Most Important Dates
| Enumeration Date: | 10/18/2021 |
| Last Updated: | 11/05/2021 |
Provider Practice Location
950 WINDHAM CT
BOARDMAN
OH
445125083
Practice Location Phone/Fax
| Phone: | 3306292955 |
| Fax: |
Provider Mailing Location
950 WINDHAM CT
BOARDMAN
OH
445125083
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |