Jennifer Correll
Individual provider Active NPI Behavior Technician · Moyock, NC
NPI 1003419672 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1003419672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 108 Rocky Top Rd
Moyock, NC 27958-9284 - Phone
- (757) 769-9595
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helianthus Positive Behavior Supports LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
108 Rocky Top Rd
Moyock, NC 27958-9284
Mailing address
1912 Starling St Apt 209
Chesapeake, VA 23322-4389
Phone (757) 269-8162
Other practice location 1
1912 Starling St Apt 209
Chesapeake, VA 23322-4389
Phone (757) 269-8162
Other providers in Moyock, NC
- Jennifer Convento
- Chelsea Coombs
- Brittany Renee Cornell
- Corolla Pharmacy Inc
- Corolla Pharmacy, Inc
- Nikita Crawford
- Courtney Croker
- Zhaakira Cuff
- Curling & Gutierrez Moyock, DDS PC
- April Cyrus
All providers in Moyock, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.