Corrina Jones

Individual provider Active NPI Behavior Technician · Colwich, KS

NPI 1760122352 · NPPES record last updated Mar 31, 2022

Key facts

NPI
1760122352
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
709 Brookside PL
Colwich, KS 67030-9683
Phone
(316) 364-9604
NPI assigned
Mar 31, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

709 Brookside PL
Colwich, KS 67030-9683

Mailing address

709 Brookside PL
Colwich, KS 67030-9683
Phone (316) 364-9604

Other providers in Colwich, KS

All providers in Colwich, KS · Behavior Technician in Kansas

Sources for this page

Verify at the official NPI Registry.