Jenna Bora
Individual provider Active NPI Behavior Technician · Colchester, VT
NPI 1164062485 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1164062485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 462 Hegeman Ave
Colchester, VT 05446-3187 - Phone
- (877) 448-4747
- NPI assigned
- Jan 14, 2020
- 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
462 Hegeman Ave
Colchester, VT 05446-3187
Mailing address
38 Grey Meadow Dr
Burlington, VT 05408-1354
Phone (802) 863-6744
Other providers in Colchester, VT
- Courtney Bliese
- Anna M Bolanis
- Jessica Jean Bolduc
- Nicole Bonneau
- Lindsey Bonsall
- Stephanie Borts
- Gayle I Botelho
- Justin Michael Boufford
- Carolyn Bowman Bliek
- Lakshmi Joshi Boyle
All providers in Colchester, VT · Behavior Technician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 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.