Active NPI
Emma Caroline Queener, RBT
- Behavior Technician
- Orange Park, FL
National Provider Identifier
1245965474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-223812
- Practice address
- 1700 Wells Rd Ste 15And16
Orange Park, FL 32073-2337 - Phone
- (904) 412-8542
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-223812 | FL | Primary |
Addresses
Primary practice location
1700 Wells Rd Ste 15And16
Orange Park, FL 32073-2337
Mailing address
245 River Plantation Rd S
St Augustine, FL 32092-8959
Phone (904) 460-4786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-223812 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245965474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 RIVER PLANTATION RD S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320928959",
"telephone_number": "904-460-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WELLS RD STE 15AND16",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732337",
"telephone_number": "904-412-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEENER",
"first_name": "EMMA",
"middle_name": "CAROLINE",
"name_prefix": "Miss",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-223812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.