NPI 1053154419

Jakeriah Allen, RBT

Practitioner Behavior Technician Gardendale, AL

Practice location

Address: 2244 North Rd STE 116, Gardendale, AL 35071-2258
Phone: (659) 207-6622
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-354236 (AL)

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Registry record

NPI: 1053154419
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2024
Record last updated: 14 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.