Jenna Waltermire
Individual provider Active NPI Behavior Technician · Adams, MA
NPI 1851098255 · NPPES record last updated Feb 15, 2023
Key facts
- NPI
- 1851098255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3 Gilead St
Adams, MA 01220-1667 - Phone
- (413) 672-1655
- NPI assigned
- Feb 15, 2023
- 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
3 Gilead St
Adams, MA 01220-1667
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Adams, MA
- Donna Jean Tew
- Barbara Ann Teresa Vallone
- Thomas E Viale Jr.
- Hilary Wailonis
- Walgreen Co
- John Whitaker
- Michael Wilusz
- Hannah Wood
- Linda Theresa Wooten
- Shannon D Yorke
All providers in Adams, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2023. 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.