Bobbi Nicole Donovan
Individual provider Active NPI Behavior Technician · Gulfport, MS
NPI 1124642434 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1124642434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9480 Three Rivers Rd
Gulfport, MS 39503-4248 - Phone
- (251) 648-4346
- Fax
- (888) 462-6035
- NPI assigned
- Jun 2, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
9480 Three Rivers Rd
Gulfport, MS 39503-4248
Mailing address
9480 Three Rivers Rd
Gulfport, MS 39503-4248
Phone (251) 648-4346
Other providers in Gulfport, MS
- Donald a. Hopkins, M.D. LTD
- Catherine N Donald
- Donn E Bowers MD Apmc
- Donna Burrowes, PLLC
- Robert Favret Donner
- Georgianna Dorch
- Raymond Kimble Doty Jr.
- John William Douglas
- Kristen Mullins Douglas
- Felicia Faye Downs
All providers in Gulfport, MS · Behavior Technician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. 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.