MRS. Jenelle Renae Bixler

NPI #1104583954 in Frankfort, Illinois

Provider Information

NPI Number: 1104583954
Entity Type: Individual
Name: MRS. Jenelle Renae Bixler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2021
Last Updated: Nov 29, 2021

Practice Location

Address: 21000 S FRANKFORT SQUARE RD
City: Frankfort
State: Illinois
ZIP Code: 60423-9385
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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