Jennifer Marie Shepard
Individual provider Active NPI Behavior Technician · Baldwin, MI
NPI 1962233684 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1962233684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- PO Box 833
Baldwin, MI 49304-0833 - Phone
- (616) 822-1029
- NPI assigned
- Aug 13, 2024
- 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
PO Box 833
Baldwin, MI 49304-0833
Mailing address
PO Box 833
Baldwin, MI 49304-0833
Other providers in Baldwin, MI
- Karen M.C. Rhodes
- Jessica Ann Rickert
- Kate Ridenour
- Felisha Robinson
- Emilee Rose Sheeley
- Cynthia Lucille Sherwood
- Debra Sowle
- St. Ann'S Lake County Senior
- Ian G Stambersky
- Jurrica Justyne Stanley
All providers in Baldwin, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 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.