Jemiffer Plaza Acevedo

Individual provider Active NPI Behavior Technician · McKinney, TX

NPI 1497268155 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1497268155
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-142954 (TX)
Practice address
6200 Virginia Pkwy
McKinney, TX 75071-5504
Phone
(214) 650-6708
Fax
(605) 271-3956
NPI assigned
Nov 15, 2017
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

State licenses

LicenseStateTypeSpecialty
RBT-20-142954TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-20-142954 TX Yes

Addresses

Primary practice location

6200 Virginia Pkwy
McKinney, TX 75071-5504

Mailing address

2804 E. 26TH St.
Suite 1
Sioux Falls, SD 57103-4019
Phone (605) 271-2690

Other practice location 1

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030

Other providers in McKinney, TX

All providers in McKinney, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.