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Individual

ROBERT JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TRAINING IN BAHVIOR

Contact information

Practice address
116 CHURCH ST STE 4, RAINBOW CITY, AL 35906-6287
(256) 459-5600
Mailing address
116 CHURCH ST STE 4, RAINBOW CITY, AL 35906-6287
(256) 459-5600

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171W00000X
Contractor
AL
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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