Devona Cromartie

Individual provider Active NPI Behavior Technician · Port Orange, FL

NPI 1295403640 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1295403640
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
823 Dunlawton Ave
Port Orange, FL 32127-4220
Phone
(877) 823-4283
Fax
(352) 332-8589
NPI assigned
Sep 1, 2021
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

823 Dunlawton Ave
Port Orange, FL 32127-4220

Mailing address

2035 SW 75TH St Ste B
Gainesville, FL 32607-3425
Phone (877) 823-4283

Other providers in Port Orange, FL

All providers in Port Orange, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.