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NPI Code Detail

MEDICARE: GENECIA D. JOINER

MEDICARE:   GENECIA D. JOINER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1083346589
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENECIA D. JOINER
Provider Business Mailing Address
First Line : 3591 EAGLE TRCE APT 302
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-1719
Country : US
Telephone Number : 601-813-6147
Fax Number :
Provider Business Practice Location Address
First Line : 3591 EAGLE TRCE APT 302
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-1719
Country : US
Telephone Number : 601-813-6147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2022
Last Update Date : 06/24/2022

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Directions to “ GENECIA D. JOINER ” Practice Location

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