Jenifer Barreras-Kirk
Individual provider Active NPI Behavior Technician · Gallup, NM
NPI 1902409600 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1902409600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3303 Church Rock St
Gallup, NM 87301-4505 - Phone
- (505) 870-5315
- NPI assigned
- Nov 17, 2020
- 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
3303 Church Rock St
Gallup, NM 87301-4505
Mailing address
3303 Church Rock St
Gallup, NM 87301-4505
Other providers in Gallup, NM
- Gina Cherie Barnes
- Caitlynn Summer Barney
- Eshia Baron
- Neil Pitero Barranta
- Valerie Hashley Barreau
- Patricia Barrios
- Michael Barron
- Andrea Barry
- Emily Bartlett
- Emma Joan Bartlett
All providers in Gallup, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. 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.