Trysta Ann Jensen
Individual provider Active NPI Behavior Technician · Rapid City, SD
NPI 1942900519 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1942900519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 308 Quincy St
Rapid City, SD 57701 - Phone
- (605) 391-4863
- NPI assigned
- Mar 3, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
308 Quincy St
Rapid City, SD 57701
Mailing address
2109 5TH Ave
Rapid City, SD 57702-3366
Phone (605) 877-0259
Other providers in Rapid City, SD
- Jacqueline Jensen
- Jarrett Jensen
- Julie Ann Jensen
- Kiana Rae Jensen
- Sandra Jensen
- Amy Jean Jenson
- Jacque Jepsen-Bakke
- Adam Jerke
- Kelly D Jerred
- Jetlyft Airmed, Inc
All providers in Rapid City, SD · Behavior Technician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 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.