Mary Anna Buckner, RBT-18-73005
Individual provider Active NPI Behavior Technician · Bunnell, FL
NPI 1356808661 · NPPES record last updated Feb 22, 2019
Key facts
- NPI
- 1356808661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-73005 (FL)
- Practice address
- 1288 Hazelnut St
Bunnell, FL 32110-6732 - Phone
- (386) 864-9391
- Fax
- (386) 226-2076
- NPI assigned
- Feb 22, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-73005 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-73005 | FL | Yes |
Addresses
Primary practice location
1288 Hazelnut St
Bunnell, FL 32110-6732
Mailing address
1288 Hazelnut St
Bunnell, FL 32110-6732
Phone (386) 864-9391
Other providers in Bunnell, FL
- Stephen R. Bickel
- Kristina H Blanchek
- Andrew Bliss
- Ronda Maria Bostick
- Martha Bradley
- Bunnell Medical Center Inc
- Bunnell Pharmacy Inc
- Carlisi Chiropractic Center Inc.
- Roy Carlisi
- Chance 2 Change
All providers in Bunnell, 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 Feb 22, 2019. 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.