Deardrey Jenkins
Behavior Technician in Columbia, MD. Individual provider (NPI-1).
NPI number1063237253
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1063237253
- Entity type
- Individual (NPI-1)
- Name
- Deardrey Jenkins
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2024
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10440 Little Patuxent PkwyColumbia, MD 21044-3561
Phone 410-220-0768
Mailing address
10440 Little Patuxent PkwyColumbia, MD 21044-3561
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