| NPI | 1063975977 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2019-04-08 |
| Last Updated | 2019-04-08 |
| Mailing Address | 4540 Harlin Dr Sacramento, CA 95826-9716 United States Phone: (916) 364-7800 📍 View Map |
| Primary Practice Address | 4540 Harlin Dr Sacramento, CA 95826-9716 United States Phone: (916) 364-7800 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 106S00000X – Behavior Technician | - | - |
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About NPI 1063975977
Jaidah Sheree Glenn is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063975977. The primary specialty listed is Behavior Technician. The provider is located in Sacramento, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-04-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063975977?
NPI 1063975977 belongs to Jaidah Sheree Glenn, a Behavior Technician in Sacramento, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063975977 active?
The current status of NPI 1063975977 in the NPPES registry is Active. The record was last updated on 2019-04-08.
What specialty is NPI 1063975977?
NPI 1063975977 is classified under the taxonomy Behavior Technician. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063975977?
You can verify NPI 1063975977 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063975977?
The primary practice address on file for NPI 1063975977 is 4540 Harlin Dr, Sacramento, CA 95826-9716. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063975977 issued?
NPI 1063975977 was first issued (enumerated) on 2019-04-08. The NPPES record was last updated on 2019-04-08.
Practice Location Map
Jaidah Sheree Glenn is located at 4540 Harlin Dr, Sacramento, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jaidah Sheree Glenn. All records sourced from the CMS NPPES registry.