Jessica Florez, BCBA
Individual provider Active NPI Behavior Analyst · Woodruff, SC
NPI 1467092916 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1467092916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 751 E. Georgia St
Woodruff, SC 29388 - Phone
- (864) 476-7400
- NPI assigned
- Jan 13, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
751 E. Georgia St
Woodruff, SC 29388
Mailing address
201 Carolina Point Pkwy Apt 331
Greenville, SC 29607-6564
Phone (864) 915-3181
Other providers in Woodruff, SC
- Victoria Eastland
- Marie Annette Elam
- Joy Eubanks
- Lauren Elizabeth Facchine
- Erica Paige Sumner Fain
- Kirsten Freeman
- Amanda Friederich
- Mark B Fullerton
- Gretchen Williams Gassaway
- Trudy L Gaston
All providers in Woodruff, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. 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.