Jennifer Takahashi, BCBA

Individual provider Active NPI Behavior Analyst · Sioux Falls, SD

NPI 1851900179 · NPPES record last updated Feb 14, 2024

Key facts

NPI
1851900179
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-24-71134 (SD)
Practice address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone
(605) 271-2690
NPI assigned
Jul 23, 2020
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
Behavior Analyst 103K00000X 1-24-71134 SD Yes

Addresses

Primary practice location

1105 W Russell St
Sioux Falls, SD 57104-1322

Mailing address

1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690

Other practice location 1

100 Kahelu Ave Ste 112
Mililani, HI 96789-3913
Phone (808) 625-3000

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Behavior Analyst in South Dakota

Sources for this page

Verify at the official NPI Registry.