Jennifer Rennee Jacks

Behavior Technician · Riverview, FL

Individual Active NPI

NPI number 1013679679

Practice location

10817 Bloomingdale Ave
Riverview, FL 33578-3616
Phone
(813) 324-1342

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NPI record

NPI
1013679679
Entity type
Individual (Type 1)
Enumeration date
October 12, 2021
Last updated
October 12, 2021
Certified
October 12, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

4718 Copper Canyon Blvd
Valrico, FL 33594-9316
Phone
(813) 409-6612

About Jennifer Jacks

Jennifer Rennee Jacks is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 10817 Bloomingdale Ave, Riverview, FL 33578-3616. The NPI number 1013679679 was assigned on October 12, 2021 and the record was last updated on October 12, 2021.

Frequently asked questions

What is the NPI number of Jennifer Rennee Jacks?

The NPI number is 1013679679.

What is the phone number of Jennifer Jacks?

The phone number listed for the practice location is (813) 324-1342.

Where is Jennifer Jacks located?

10817 Bloomingdale Ave, Riverview, FL 33578-3616.

What is the taxonomy code for Jennifer Jacks?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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