Bianca Adams

Individual provider Active NPI Behavior Technician · Port St Lucie, FL

NPI 1255810420 · NPPES record last updated Aug 8, 2018

Key facts

NPI
1255810420
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407
Phone
(772) 463-0444
NPI assigned
Aug 8, 2018
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407

Mailing address

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.