Most Relevant Information
Provider Data
| NPI Number: | 1003326760 |
| Provider Name: | ASHLEE JENKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/09/2017 |
| Last Updated: | 10/09/2017 |
Provider Practice Location
5417 PINE DR
CROSWELL
MI
484229479
Practice Location Phone/Fax
| Phone: | 2489777123 |
| Fax: |
Provider Mailing Location
5417 PINE DR
CROSWELL
MI
484229479
Provider Mailing Phone/Fax
| Phone: | 2489777123 |
| Fax: |