Shannel Latrice Jenkins
Behavior Technician in Monroe, MI. Individual provider (NPI-1).
NPI number1164021358
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1164021358
- Entity type
- Individual (NPI-1)
- Name
- Shannel Latrice Jenkins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2086 S Custer RdMonroe, MI 48161-1831
Phone 734-682-5174
Mailing address
2086 S Custer RdMonroe, MI 48161-1831
Phone 734-682-5174
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