Jayden Clowney
Individual provider Active NPI Behavior Technician · Belcamp, MD
NPI 1003529074 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1003529074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1200 Creamery LN
Belcamp, MD 21017-1499 - Phone
- (443) 300-6362
- Fax
- (667) 400-6110
- NPI assigned
- Jan 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Humanim Mental Health Services LLC | Behavior Technician | Current |
Accepting new patients |
Locations
1200 Creamery Ln
Belcamp, MD 21017
Phone (443) 300-6362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1200 Creamery LN
Belcamp, MD 21017-1499
Mailing address
1200 Creamery LN
Belcamp, MD 21017-1499
Phone (443) 300-6362
Other providers in Belcamp, MD
- Nicole Caprio
- Allison Casey
- Kimmie L Cass
- Marissa Chin
- Kemah Clarke
- Natalie Cohn
- Ernestean Connally
- Kim G Conner
- Lakia Lynn Cook
- Marilyn Moshay Cooper
All providers in Belcamp, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. 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.