Marcy Janssen

Individual provider Active NPI Behavior Technician · Russell, KS

NPI 1376276394 · NPPES record last updated Jul 7, 2022

Key facts

NPI
1376276394
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
971 E Wichita Ave
Russell, KS 67665-2444
Phone
(316) 400-3535
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

971 E Wichita Ave
Russell, KS 67665-2444

Mailing address

971 E Wichita Ave
Russell, KS 67665-2444

Electronic endpoints

TypeEndpointUseAffiliation
Other URL maj22258@hotmail.com

Other providers in Russell, KS

All providers in Russell, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.