Jennifer Ballard
Individual provider Active NPI Behavior Technician · Bluffton, SC
NPI 1497512875 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1497512875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 19 Maywood Way
Bluffton, SC 29910-9552 - Phone
- (843) 422-2652
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
19 Maywood Way
Bluffton, SC 29910-9552
Mailing address
19 Maywood Way
Bluffton, SC 29910-9552
Phone (843) 422-2652
Other providers in Bluffton, SC
- Tara Baideme
- Meagan Bailie
- David Baker
- Jonathan Keegan Bakos
- Balanced Wellness, LLC
- Isabella Balzola
- Ellen E. Bannon-Dorn
- Ben Joseph Barnett
- Luther Val Barnett
- Barnwell Counseling, LLC
All providers in Bluffton, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. 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.