Provider Demographics
NPI:1780249474
Name:DREHER, JENNIFER MCAULIFFE (BCBA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MCAULIFFE
Last Name:DREHER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 VICTORIA RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1538
Mailing Address - Country:US
Mailing Address - Phone:860-836-9438
Mailing Address - Fax:
Practice Address - Street 1:190 VICTORIA RD
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1538
Practice Address - Country:US
Practice Address - Phone:860-836-9438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst