Jamie Small, RBT
Individual provider Active NPI Behavior Technician · Mascotte, FL
NPI 1114479367 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1114479367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-16-22885
- Practice address
- 301 Boca Ciega Rd
Mascotte, FL 34753-9224 - Phone
- (352) 988-4026
- NPI assigned
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-22885 | Yes |
Addresses
Primary practice location
301 Boca Ciega Rd
Mascotte, FL 34753-9224
Mailing address
301 Boca Ciega Rd
Mascotte, FL 34753-9224
Phone (352) 988-4026
Other providers in Mascotte, FL
- Rosaved Rios
- Lizzette Rivera
- Nitza Rosario
- Betty Lynn Sangle
- Ashley Serieux
- Latonya Patrice Smith
- South Lake Primary Care P a
- James Arlo Taylor
- The Healing Holler LLC
- Lazina Johannah Thomas
All providers in Mascotte, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.