Jordyn Bernson
Behavior Technician in Springfield, IL. Individual provider (NPI-1).
NPI number1942018239
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1942018239
- Entity type
- Individual (NPI-1)
- Name
- Jordyn Bernson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2024
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3921 Pintail DrSpringfield, IL 62711-6738
Phone 217-843-0290
Mailing address
2516 S 4th StSpringfield, IL 62703-3843
Phone 217-433-7887
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