Janie Boulware
Individual provider Active NPI Day Training/Habilitation Specialist · Macclenny, FL
NPI 1306858600 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306858600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 706 Shortputt Dr
Macclenny, FL 32063-4319 - Phone
- (904) 265-0340
- Fax
- (904) 265-1906
- NPI assigned
- Aug 13, 2006
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
706 Shortputt Dr
Macclenny, FL 32063-4319
Mailing address
706 Shortputt Dr
Macclenny, FL 32063-4319
Phone (904) 265-0340
Other providers in Macclenny, FL
- Deborah Lynn Bellino
- Alexcia Bennett
- Benso Gold Dental, P.a.
- Bio-Medical Applications of Florida, Inc.
- Amanda Jean Bondie
- Tiffany Faye Braddy
- Johnnie N Bradley-Goodman
- Brittany N Day, DDS, PA
- Angela Broadnax
- Jennifer K Brown
All providers in Macclenny, FL · Day Training/Habilitation Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.