Janekia Black
Individual provider Active NPI Behavior Technician · Willow Park, TX
NPI 1124824867 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1124824867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 161 JD Towles Dr
Willow Park, TX 76087-8654 - Phone
- (682) 900-1444
- Fax
- (432) 322-4597
- NPI assigned
- Feb 24, 2025
- 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 |
|---|---|---|---|
| Thrive Behavior Centers LLC | Behavior Technician | Current |
Accepting new patients |
Locations
161 Jd Towles Dr
Willow Park, TX 76087
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
161 JD Towles Dr
Willow Park, TX 76087-8654
Mailing address
161 JD Towles Dr
Willow Park, TX 76087-8654
Phone (682) 900-1444
Other providers in Willow Park, TX
- Lauri Berka
- Cindy L Bernard
- Raphaelle Bernier
- Tarah R Bertzyk
- Sperry Binnicker
- Danyelle Boley
- Amanda Bouyer
- Jackelyn Bragg
- Natalie Brightman
- Brookshire Grocery Company
All providers in Willow Park, TX · Behavior Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. 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.