Jodie Lynn Chlouber
Individual provider Active NPI Behavior Technician · Ely, NV
NPI 1710523949 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1710523949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1130 Ely St
Ely, NV 89301-1661 - Phone
- (559) 679-3531
- NPI assigned
- Nov 22, 2019
- 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
1130 Ely St
Ely, NV 89301-1661
Mailing address
1130 Ely St
Ely, NV 89301-1661
Phone (559) 679-3531
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 1-855-950-0002 | Direct |
Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 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.