Jessica Amezquita
Individual provider Active NPI Behavior Technician · Dearborn, MI
NPI 1982190450 · NPPES record last updated Jul 7, 2018
Key facts
- NPI
- 1982190450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6275 Schaefer Rd Ste 105
Dearborn, MI 48126-2210 - Phone
- (313) 652-6701
- NPI assigned
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asd Latinos Unlimited LLC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
6275 Schaefer Rd Ste 105
Dearborn, MI 48126-2210
Mailing address
6275 Schaefer Rd Ste 105
Dearborn, MI 48126-2210
Phone (313) 652-6701
Other providers in Dearborn, MI
- American Rehab & Therapy Services Inc
- American Rehab, Inc
- Americare Medical Supplies Inc
- Amerigard Development Corporation
- Terry Ames
- Amg Chore Services, LLC
- Ami LLC
- Muhammad Asief-Ahmed Amin
- Reem Amine
- Amina Ammar
All providers in Dearborn, 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 Jul 7, 2018. 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.