SearchMissouriBehavior Technician

Jered Ethridge

NPI 1407412174 · on the registry since 2019

Practice

Address
2981 Kanell Blvd
Poplar Bluff, MO 63901
Phone
(573) 712-2902
Clinicians at this address
33

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Male
Record last updated
2019-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri