Jennifer Allen
Individual provider Active NPI Behavior Technician · Fruitland, NM
NPI 1740809151 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1740809151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- #786 CR 6100
Fruitland, NM 87416 - Phone
- (505) 215-1219
- NPI assigned
- Apr 15, 2020
- 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
#786 CR 6100
Fruitland, NM 87416
Mailing address
PO Box 887
Fruitland, NM 87416-0887
Phone (505) 215-1219
Other providers in Fruitland, NM
All providers in Fruitland, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. 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.