Jennifer Convento
Individual provider Active NPI Behavior Technician · Moyock, NC
NPI 1972214005 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1972214005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 111 Currituck Commerical Dr Ste A1
Moyock, NC 27958-9086 - Phone
- (252) 435-1665
- NPI assigned
- Dec 9, 2022
- 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
111 Currituck Commerical Dr Ste A1
Moyock, NC 27958-9086
Mailing address
111 Currituck Commerical Dr Ste A1
Moyock, NC 27958-9086
Phone (252) 435-1665
Other providers in Moyock, NC
- Jade Clouden
- Coastal Bridge Health, LLC
- Coastal Rehabilitation Inc
- Christina Coats
- David A Collins
- Chelsea Coombs
- Brittany Renee Cornell
- Corolla Pharmacy Inc
- Corolla Pharmacy, Inc
- Jennifer Correll
All providers in Moyock, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. 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.