Individual provider · NPI-1
Jayden Clowney
Behavior Technician · Belcamp, MD
NPI number1003529074
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1003529074
- Entity type
- Individual (NPI-1)
- Name
- Jayden Clowney
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2023
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Creamery LnBelcamp, MD 21017-1499
Phone 443-300-6362 · Fax 667-400-6110
Mailing address
1200 Creamery LnBelcamp, MD 21017-1499
Phone 443-300-6362 · Fax 667-400-6110
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