Sara Adams

Individual provider Active NPI Behavior Technician · Jackson, MI

NPI 1962921064 · NPPES record last updated Oct 9, 2021

Key facts

NPI
1962921064
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
916 N West Ave
Jackson, MI 49202-3243
Phone
(517) 513-3297
NPI assigned
Sep 11, 2017
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 Yes

Addresses

Primary practice location

916 N West Ave
Jackson, MI 49202-3243

Mailing address

9410 S Meridian Rd
Clarklake, MI 49234-9661

Other providers in Jackson, MI

All providers in Jackson, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.