Jeremy Futch
Individual provider Active NPI Behavior Technician · Atlantic Beach, FL
NPI 1346094091 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1346094091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-341666 (FL)
- Practice address
- 997 Atlantic Blvd
Atlantic Beach, FL 32233-3311 - Phone
- (904) 647-1849
- NPI assigned
- Apr 17, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-341666 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Behavioral Solutions, Inc. | Current |
Accepting new patients | |
| Bloom Behavioral Solutions | Current |
Accepting new patients |
Locations
997 Atlantic Blvd
Jacksonville, FL 32233
Phone (904) 647-1849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-341666 | FL | Yes |
Addresses
Primary practice location
997 Atlantic Blvd
Atlantic Beach, FL 32233-3311
Mailing address
7852 Spring Branch Dr S
Jacksonville, FL 32221-7632
Phone (904) 896-7375
Other providers in Atlantic Beach, FL
- Jennifer Lyn Flight-Hawk
- Gabriella Tae Flores
- John D Foster
- Karen S Foster
- Mikel K Foster
- Lubna Gabriel
- Elise Gates
- Gateway Vision Inc
- Benjamin Todd Gebhart
- Leah Geraci
All providers in Atlantic Beach, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. 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.