TEQUILA JUNIOR
NPI 1770384109
Behavior Technician in Caruthersville, MO
About Tequila Junior NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEQUILA JUNIOR (NPI 1770384109) is an individual behavior technician in Caruthersville, Missouri and active in the NPI registry since March 2025.
NPPES Registry Identity
Specialties & Licenses
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 Tequila Junior's NPI number?
The NPI number for Tequila Junior is 1770384109. It was assigned to this individual provider in the NPPES registry on March 21, 2025.
Where is Tequila Junior located?
Tequila Junior practices at 915 Missouri 84, Caruthersville, MO 63830. The listed phone number is (573) 333-5875.
What is Tequila Junior'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 Tequila Junior was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.