Jessica C Atwood

Individual provider Active NPI Behavior Technician · Rockford, MI

NPI 1972284891 · NPPES record last updated Jul 25, 2023

Key facts

NPI
1972284891
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
517 E Division St
Rockford, MI 49341-1376
Phone
(844) 854-1116
NPI assigned
Jul 25, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

517 E Division St
Rockford, MI 49341-1376

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116

Other providers in Rockford, MI

All providers in Rockford, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.