Provider Demographics
NPI:1255583290
Name:WARD, JEANNE (MS ED BCBA LBA)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MS ED BCBA LBA
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:DELORENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 97TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7602
Mailing Address - Country:US
Mailing Address - Phone:718-238-7869
Mailing Address - Fax:
Practice Address - Street 1:7616 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2412
Practice Address - Country:US
Practice Address - Phone:718-630-5100
Practice Address - Fax:718-491-6110
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst