Jimson Clerveus

NPI #1003659509 in Wichita, Kansas

Provider Information

NPI Number: 1003659509
Entity Type: Individual
Name: Jimson Clerveus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 13, 2024
Last Updated: Jun 13, 2024

Practice Location

Address: 1319 W MAY ST
City: Wichita
State: Kansas
ZIP Code: 67213-3505
Phone: (316) 223-7159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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