NPI 1093102956 · live from the CMS NPI Registry
Jude Jenkins-Schrack, BCBA
Behavior Analyst in North Pole, AK. National Provider Identifier 1093102956, active.
NPI record
| NPI | 1093102956 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1076 Badger Rd, North Pole, AK 99705 |
| Practice phone | 702-279-8679 |
| Enumerated | April 18, 2015 |
| Last updated | April 18, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-15-18221 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.