Tequila Junior
Behavior Technician · Caruthersville, MO
NPI number
1770384109
Practice location
915 Missouri 84Caruthersville, MO 63830
- Phone
- (573) 333-5875
NPI record
- NPI
- 1770384109
- Entity type
- Individual (Type 1)
- Enumeration date
- March 21, 2025
- Last updated
- March 21, 2025
- Certified
- March 19, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
About Tequila Junior
Tequila Junior is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 915 Missouri 84, Caruthersville, MO 63830. The NPI number 1770384109 was assigned on March 21, 2025 and the record was last updated on March 21, 2025.
Frequently asked questions
What is the NPI number of Tequila Junior?
The NPI number is 1770384109.
What is the phone number of Tequila Junior?
The phone number listed for the practice location is (573) 333-5875.
Where is Tequila Junior located?
915 Missouri 84, Caruthersville, MO 63830.
What is the taxonomy code for Tequila Junior?
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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