Tracy M Banks, DNP RN

Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Belle Glade, FL

NPI 1053010835 · NPPES record last updated Mar 29, 2023

Key facts

NPI
1053010835
Entity type
Individual (NPI type 1)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Practice address
689 SW 8TH St
Belle Glade, FL 33430-3706
Phone
(561) 420-2530
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

689 SW 8TH St
Belle Glade, FL 33430-3706

Mailing address

931 Village Blvd # 288
West Palm Beach, FL 33409-1803
Phone (561) 420-2530

Other providers in Belle Glade, FL

All providers in Belle Glade, FL · Developmentally Disabled Services Day Training Agency in Florida

Sources for this page

Verify at the official NPI Registry.