Devore Jenkins

Individual provider Active NPI Assistant Behavior Analyst · Pahokee, FL

NPI 1043722762 · NPPES record last updated Nov 3, 2017

Key facts

NPI
1043722762
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
504 W 6TH St
Pahokee, FL 33476-2302
Phone
(772) 940-7431
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

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
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

504 W 6TH St
Pahokee, FL 33476-2302

Mailing address

504 W 6TH St
Pahokee, FL 33476-2302
Phone (772) 940-7431

Other providers in Pahokee, FL

All providers in Pahokee, FL · Assistant Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.