Jenna Arbuckle
Individual provider Active NPI Behavior Technician · Greenwood, IN
NPI 1336728245 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1336728245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB580553 (IN)
- Practice address
- 374 Meridian Parke LN
Greenwood, IN 46142-9406 - Phone
- (317) 888-5437
- NPI assigned
- Apr 7, 2021
- 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 |
|---|---|---|---|
| BACB580553 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Programming Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB580553 | IN | Yes |
Addresses
Primary practice location
374 Meridian Parke LN
Greenwood, IN 46142-9406
Mailing address
374 Meridian Parke LN
Greenwood, IN 46142-9406
Other providers in Greenwood, IN
- Alyssa Antone
- Leslie M Antonelli
- Elizabeth Connell Anttonen
- Apexgen Medical Billing LLC
- Sydney Apple
- Angela A Archer
- Andrea Lynn Arends
- Cynthia Yessenia Argueta
- Chelsea Renee Armbruster
- Brandon T Armstrong
All providers in Greenwood, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 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.