Search › Massachusetts › 103K00000X
Jenna Wallack, M.S, BCBA
NPI 1518526730 · on the registry since 2019
Practice
- Address
- 132 Robbs Hill Rd
Lunenburg, MA 01462 - Phone
- (978) 846-3318
- Organisation at this address
- Innovative Autism Connections, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 139
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts