Ashlee Jenkins

Individual provider Active NPI Behavior Technician · Croswell, MI

NPI 1003326760 · NPPES record last updated Oct 9, 2017

Key facts

NPI
1003326760
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5417 Pine Dr
Croswell, MI 48422-9479
Phone
(248) 977-7123
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5417 Pine Dr
Croswell, MI 48422-9479

Mailing address

5417 Pine Dr
Croswell, MI 48422-9479
Phone (248) 977-7123

Other providers in Croswell, MI

All providers in Croswell, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.