Provider Demographics
NPI:1619242435
Name:SPRINGER, JENNA K (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:K
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LEAVENWORTH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-5926
Mailing Address - Country:US
Mailing Address - Phone:785-341-1380
Mailing Address - Fax:
Practice Address - Street 1:601 LEAVENWORTH ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5926
Practice Address - Country:US
Practice Address - Phone:785-341-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171W00000XOther Service ProvidersContractor