Jessica Ann Alspaugh
Individual provider Active NPI Behavior Technician · Kalkaska, MI
NPI 1104486281 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1104486281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 304 S Coral St
Kalkaska, MI 49646-7957 - Phone
- (231) 384-3891
- NPI assigned
- Jun 19, 2019
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
304 S Coral St
Kalkaska, MI 49646-7957
Mailing address
304 S Coral St
Kalkaska, MI 49646-7957
Phone (231) 384-3891
Other providers in Kalkaska, MI
- Active Brace and Limb
- Duane Allen
- Alpine Medical Supply & Rehab
- Jacob Anderson
- Kelli Arnold
- David Thomas Auer
- Sherry Ann Barnes
- Jaime Lorraine Bateman
All providers in Kalkaska, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2019. 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.