NPI 1003659509

Jimson Clerveus

Practitioner Behavior Technician Wichita, KS

Practice location

Address: 1319 W May St, Wichita, KS 67213-3505
Phone: (316) 223-7159

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003659509
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

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.