Provider Demographics
NPI:1548926439
Name:BELL, JENNILEE RENEE (BT)
Entity type:Individual
Prefix:
First Name:JENNILEE
Middle Name:RENEE
Last Name:BELL
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 PLUM CREEK CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-5686
Mailing Address - Country:US
Mailing Address - Phone:469-418-1529
Mailing Address - Fax:
Practice Address - Street 1:3602 PLUM CREEK CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-5686
Practice Address - Country:US
Practice Address - Phone:469-418-1529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician