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Jenna Laine Boggs

Behavior Technician in Jonesboro, AR. Individual provider (NPI-1).

NPI number1962316554
StatusActive
Last updated in NPPESSep 30, 2026

Details

NPI
1962316554
Entity type
Individual (NPI-1)
Name
Jenna Laine Boggs
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2026
Certification date
Sep 30, 2026
Last updated
Sep 30, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–ARYes

Practice location

1102 Laurelwood Ct
Jonesboro, AR 72401-5128

Phone 870-243-6180 · Fax 479-270-1291

Mailing address

1102 Laurelwood Ct
Jonesboro, AR 72401-5128

Phone 870-243-6180 · Fax 479-270-1291

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Jonesboro, AR

All 346 Behavior Technician providers in Jonesboro · All 5,919 providers in Jonesboro

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