Jennifer Suzanne Alexander
Individual provider Active NPI Behavior Technician · San Angelo, TX
NPI 1154896397 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1154896397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2145 Office Park Dr
San Angelo, TX 76904-6803 - Phone
- (325) 660-1600
- NPI assigned
- Oct 3, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2145 Office Park Dr
San Angelo, TX 76904-6803
Mailing address
2145 Office Park Dr
San Angelo, TX 76904-6803
Other providers in San Angelo, TX
- Jarrett Desmond Aldinger
- Nicole Marie Aldover
- Melissa Aleta
- Gus Alexander
- Janis Kay Alexander
- John E Alexander
- Robert W Alexander
- Ross A Alexander
- James Alfano
- Abigail Jasmine Alfaro
All providers in San Angelo, 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 Oct 3, 2018. 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.