Individual provider · NPI-1

Jawana Kristy Adams

Behavior Technician · Detroit, MI

NPI number1033867775
StatusActive
Last updated in NPPESMar 11, 2022

Details

NPI
1033867775
Entity type
Individual (NPI-1)
Name
Jawana Kristy Adams
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2022
Certification date
Mar 11, 2022
Last updated
Mar 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157

Phone 888-922-2843 · Fax 855-568-2494

Mailing address

7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157

Phone 888-922-2843 · Fax 855-568-2494

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