Jennifer Chinecherem Ani, RBT

Individual provider Active NPI Behavior Technician · Birmingham, AL

NPI 1003475336 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1003475336
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4778 Overton Rd
Birmingham, AL 35210-3803
Phone
(205) 957-0294
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell'S Place, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4778 Overton Rd
Birmingham, AL 35210-3803

Mailing address

4778 Overton Rd
Birmingham, AL 35210-3803
Phone (205) 957-0294

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL www.mitchells-place.com Other

Other providers in Birmingham, AL

All providers in Birmingham, AL · Behavior Technician in Alabama

Sources for this page

Verify at the official NPI Registry.