Provider Demographics
NPI:1326847054
Name:DENTON, JAYCEE (RBT)
Entity type:Individual
Prefix:
First Name:JAYCEE
Middle Name:
Last Name:DENTON
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-3250
Mailing Address - Country:US
Mailing Address - Phone:574-786-0088
Mailing Address - Fax:574-366-0080
Practice Address - Street 1:750 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-3250
Practice Address - Country:US
Practice Address - Phone:574-786-0088
Practice Address - Fax:574-366-0080
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician