Jordan Camp

Individual provider Active NPI Behavior Technician · Greenbrier, AR

NPI 1801653290 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1801653290
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8 S Broadview St # a
Greenbrier, AR 72058-9601
Phone
(501) 380-0028
NPI assigned
Mar 1, 2024
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

8 S Broadview St # a
Greenbrier, AR 72058-9601

Mailing address

8 S Broadview St # a
Greenbrier, AR 72058-9601

Other providers in Greenbrier, AR

All providers in Greenbrier, AR · Behavior Technician in Arkansas

Sources for this page

Verify at the official NPI Registry.