Killion, Jeremy

Killion, Jeremy is an individual health care provider with primary practice located at 1330 W Auto Dr , Tempe AZ 85284-1017. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Killion, Jeremy can be contacted via phone (480) 553-7153.

Contact Information

Primary practice address
1330 W Auto Dr Tempe AZ 85284-1017
Phone: (480) 553-7153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X Arizona

Profile Details

NPI number 1427795665
LBN Legal business name Killion, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2022
Last updated Sep 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427795665 NPPES
Arizona MEDICAID 1841543345

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