Jacee Sue Freeman
Individual provider Active NPI Behavior Technician · Greenbrier, AR
NPI 1265299606 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1265299606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 23-319084 (AR)
- Practice address
- 30 Onyx Dr
Greenbrier, AR 72058-9148 - Phone
- (501) 380-0028
- NPI assigned
- Mar 4, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-319084 | AR | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine ABA Therapy PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-319084 | AR | Yes |
Addresses
Primary practice location
30 Onyx Dr
Greenbrier, AR 72058-9148
Mailing address
1284 Johnson LN
Delaware, AR 72835-9104
Phone (501) 242-3258
Other providers in Greenbrier, AR
- Finding Grace Counseling and Wellness LLC
- Alyson Michele Fish
- Kylan Emelia Foley
- Karen Ford
- Whitney Foshee
- Reagan Garber
- Victoria Gaskin
- Natalie Gay
- GB Dental PLLC
- Kristen Rene Goodnight
All providers in Greenbrier, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. 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.