JERED DEVIN ETHRIDGE
NPI 1407412174
Behavior Technician in Poplar Bluff, MO

Active since May 17, 2019
2981 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 712-2902 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jered Devin Ethridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERED DEVIN ETHRIDGE (NPI 1407412174) is an individual behavior technician in Poplar Bluff, Missouri and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1407412174
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJERED DEVIN ETHRIDGE
Location Address2981 KANELL BLVDPoplar Bluff, MO 63901-4008
Mailing Address2981 Kanell BlvdPoplar Bluff, MO 63901-4008 · (573) 712-2902
Sole ProprietorNo
Enumeration DateMay 17, 2019
NPI 1407412174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
2981 KANELL BLVD, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Speech-Language Pathologist
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Behavior Technician
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
2981 KANELL BLVD
POPLAR BLUFF, MO 63901
Physical Therapist
2981 KANELL BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jered Ethridge's NPI number?

The NPI number for Jered Ethridge is 1407412174. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Jered Ethridge located?

Jered Ethridge practices at 2981 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 712-2902.

What is Jered Ethridge's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jered Ethridge was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.