Jennifer Jack

Behavior Technician · Covington, VA

Individual Active NPI

NPI number 1386182368

Practice location

729 N Greenbrier Ave
Covington, VA 24426-1319
Phone
(540) 691-9655

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NPI record

NPI
1386182368
Entity type
Individual (Type 1)
Enumeration date
February 9, 2017
Last updated
February 9, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X 17-6769-52485 VA

About Jennifer Jack

Jennifer Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 729 N Greenbrier Ave, Covington, VA 24426-1319. The NPI number 1386182368 was assigned on February 9, 2017 and the record was last updated on February 9, 2017.

Jennifer Jack lists a license in the registry: #17-6769-52485 (VA) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Jack?

The NPI number is 1386182368.

What is the phone number of Jennifer Jack?

The phone number listed for the practice location is (540) 691-9655.

Where is Jennifer Jack located?

729 N Greenbrier Ave, Covington, VA 24426-1319.

What is the taxonomy code for Jennifer Jack?

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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