Rebecca Barrett
Individual provider Active NPI Behavior Technician · Callaway, FL
NPI 1609490408 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1609490408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RNT-20-121627 (FL)
- Practice address
- 850 N Tyndall Pkwy
Callaway, FL 32404-9407 - Phone
- (850) 866-0441
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| RNT-20-121627 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wsi Learning Centers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RNT-20-121627 | FL | Yes |
Addresses
Primary practice location
850 N Tyndall Pkwy
Callaway, FL 32404-9407
Mailing address
850 N Tyndall Pkwy
Callaway, FL 32404-9407
Other providers in Callaway, FL
- 626 N Tyndall Pkwy Opco LLC
- 626 North Tyndall Parkway Operations LLC
- Sylvia Lynn Abercrombie-Broad
- Allison Blackstock
- Mary Virginia Blue
- Lance Mathew Campbell
- Tammy Carwile Campbell
- Michelle J Cerbantec
All providers in Callaway, 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 Jun 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.