Jenee Larson
Individual provider Active NPI Behavior Technician · Cameron, WI
NPI 1497463202 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1497463202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 221 Birch Ave
Cameron, WI 54822-8717 - Phone
- (715) 600-3432
- NPI assigned
- Nov 10, 2022
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamship Center, Inc. | Current |
Accepting new patients |
Locations
221 Birch Ave
Cameron, WI 54822
Phone (715) 600-3432
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
221 Birch Ave
Cameron, WI 54822-8717
Mailing address
221 Birch Ave
Cameron, WI 54822-8717
Phone (715) 600-3432
Other providers in Cameron, WI
- Tammy J Franck
- Caitlin Fredrickson
- Kayla Lois Gerber
- Andrea Hiess
- Meagan Holzapfel
- Leverage Physical Therapy, LLC
- Kendra Lorentz
- Colleen J Masters
- Kevin L Masters
- Caroline M Mather
All providers in Cameron, WI · Behavior Technician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. 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.