Jadyn Bramble

Individual provider Active NPI Behavior Technician · North Port, FL

NPI 1497439764 · NPPES record last updated Jun 14, 2023

Key facts

NPI
1497439764
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2574 Commerce Pkwy
North Port, FL 34289-9334
Phone
(800) 356-4049
Fax
(941) 485-0519
NPI assigned
Jun 14, 2023
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2574 Commerce Pkwy
North Port, FL 34289-9334

Mailing address

PO Box 631278
Cincinnati, OH 45263-1278
Phone (800) 356-4049

Other providers in North Port, FL

All providers in North Port, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.