Justin Celleri
Individual provider Active NPI Behavior Technician · Cantonment, FL
NPI 1346880358 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1346880358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-20-109887 (FL)
- Practice address
- 3771 Stefani Rd
Cantonment, FL 32533-7795 - Phone
- (850) 607-6910
- Fax
- (850) 607-6932
- NPI assigned
- Jan 8, 2020
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-109887 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-109887 | FL | Yes |
Addresses
Primary practice location
3771 Stefani Rd
Cantonment, FL 32533-7795
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Other providers in Cantonment, FL
- Nicole Cappelletty
- Careinity Homecare Solutions
- Melissa Carlisle
- Timiya Sherard Carson
- CBG Health, LLC
- Mariela Cerchiari
- Christina Glyn Chambers
- Tebytha Chan
- Jacquelyn Thuy Chappell
- Childhood Interventions
All providers in Cantonment, 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 Jan 8, 2020. 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.