Alexandra Adams

Individual provider Active NPI Behavior Technician · Lynn Haven, FL

NPI 1699398305 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1699398305
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT24388849 (FL)
Practice address
301 W 26TH St
Lynn Haven, FL 32444-4713
Phone
(850) 769-5371
NPI assigned
May 28, 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

State licenses

LicenseStateTypeSpecialty
RBT24388849FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT24388849 FL Yes

Addresses

Primary practice location

301 W 26TH St
Lynn Haven, FL 32444-4713

Mailing address

2517 W 10TH St
Panama City, FL 32401-1406

Other providers in Lynn Haven, FL

All providers in Lynn Haven, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.