Jewel Austin
Individual provider Active NPI Behavior Technician · Odenton, MD
NPI 1487230462 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1487230462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2288 Blue Water Blvd Ste 310
Odenton, MD 21113-3301 - Phone
- (141) 063-0693
- NPI assigned
- Mar 22, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2288 Blue Water Blvd Ste 310
Odenton, MD 21113-3301
Mailing address
2288 Blue Water Blvd Ste 310
Odenton, MD 21113-3301
Phone (141) 063-0693
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All providers in Odenton, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 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.