JERED DEVIN ETHRIDGE
NPI 1407412174
Behavior Technician in Poplar Bluff, MO
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
Specialties & Licenses
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.
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.