Emilia Grace Jefferson
Individual provider Active NPI Behavior Technician · China, MI
NPI 1154922771 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1154922771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3104 King Rd
China, MI 48054-1428 - Phone
- (810) 328-4500
- NPI assigned
- Nov 2, 2020
- 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 |
|---|---|---|---|
| Mercy Plus Healthcare Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3104 King Rd
China, MI 48054-1428
Mailing address
1912 Howard St
Port Huron, MI 48060-4914
Phone (810) 858-7483
Other providers in China, MI
- Tyanna Haskins
- Cody Heimbach
- Nicole Herrington
- Haley Houle
- Alexandra Shaye Hunger
- Alivia Charlene Kelley
- Elizabeth Kronner
- Amanda Kuecken
- Makenna Lynn Kunnath
- Jasmine Lewis
All providers in China, 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 Nov 2, 2020. 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.