Jennifer Bushmaker
Individual provider Active NPI Behavior Technician · Two Harbors, MN
NPI 1578106977 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1578106977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 115 7TH St
Two Harbors, MN 55616-1528 - Phone
- (218) 834-6005
- Fax
- (218) 724-4041
- NPI assigned
- Oct 18, 2019
- 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 |
|---|---|---|---|
| Accend Services Incorporated | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
115 7TH St
Two Harbors, MN 55616-1528
Mailing address
101 W 2ND St
Duluth, MN 55802-2086
Phone (218) 724-3122
Other names
- Jennifer Gezella
Other providers in Two Harbors, MN
- Bodies in Balance of Two Harbors, Inc.
- Nicole Bogenreif
- Jody Lynn Boyer
- Brightwater Health Dba Human Development Center
- Lisa D Bucklew
- Sara Byrns
- Daniel Cahill
- Cardinal Comfort Care Cooperative
- Amber L Christensen
- Faith Clark
All providers in Two Harbors, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. 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.