NPI 1003419672

Jennifer Correll

Practitioner Behavior Technician Moyock, NC

Practice location

Address: 108 Rocky Top Rd, Moyock, NC 27958-9284
Phone: (757) 769-9595
Mailing address: 1912 Starling St APT 209, Chesapeake, VA 23322-4389

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in North Carolina →

Registry record

NPI: 1003419672
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.