Jessica Elizabeth Broyles
Individual provider Active NPI Behavior Technician · Decatur, TN
NPI 1831959147 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1831959147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1102 Ford Rd
Decatur, TN 37322-7680 - Phone
- (423) 506-4781
- NPI assigned
- Mar 21, 2024
- 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
1102 Ford Rd
Decatur, TN 37322-7680
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Decatur, TN
- Jennifer Diane Baker
- Erika Renee Barnette
- Katherine Elizabeth Bennett
- Sheri D. Burns
- Paula Cain
- Care Links PLLC
- Amanda Brooke Carr
- County of Meigs
All providers in Decatur, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. 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.