Jax Services, LLC
Organization Active NPI Behavior Analyst · Kingman, IN
NPI 1164093407 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1164093407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- JAX SERVICES, LLC
- Practice address
- 2700 E Limepit Rd
Kingman, IN 47952-8030 - Phone
- (765) 749-2763
- NPI assigned
- Jul 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Betsy Weems
- Title
- Ceo
- Phone
- (765) 749-2763
Practitioners 8
-
Lara Marie Blanchard, MA,BCBA
-
Tasha Baker, BCBA
-
Gina Derosa Warren, M.S., BCBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
2700 E Limepit Rd
Kingman, IN 47952-8030
Mailing address
2700 E Limepit Rd
Kingman, IN 47952-8030
Other providers in Kingman, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. 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.