Keara Adgar

Individual provider Active NPI Behavior Technician · Deltona, FL

NPI 1033733308 · NPPES record last updated Jun 3, 2020

Key facts

NPI
1033733308
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
537 Deltona Blvd
Deltona, FL 32725-8017
Phone
(904) 878-8683
Fax
(386) 200-5752
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Foundation Centers Inc Current
since Aug 1, 2021
Accepting new patients
Exceptional Learning Institute, Inc Current
since Oct 8, 2023
Accepting new patients

Locations

537 Deltona Blvd
Deltona, FL 32725
Phone (646) 670-7770

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

537 Deltona Blvd
Deltona, FL 32725-8017

Mailing address

537 Deltona Blvd
Deltona, FL 32725-8017
Phone (904) 878-8683

Other providers in Deltona, FL

All providers in Deltona, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.