Jada S Allen

Individual provider Active NPI Behavior Technician · Memphis, TN

NPI 1669246773 · NPPES record last updated Nov 15, 2023

Key facts

NPI
1669246773
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-220709 (TN)
Practice address
1981 Manila Ave
Memphis, TN 38114-1746
Phone
(901) 900-6375
NPI assigned
Nov 9, 2023
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-22-220709TNMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-220709 TN Yes

Addresses

Primary practice location

1981 Manila Ave
Memphis, TN 38114-1746

Mailing address

1981 Manila Ave
Memphis, TN 38114-1746
Phone (901) 900-6375

Other providers in Memphis, TN

All providers in Memphis, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.