Sydney Rose Greenberg
Individual provider Active NPI Behavior Technician · Port St Lucie, FL
NPI 1699596361 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1699596361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6213 NW Kukui CT
Port St Lucie, FL 34983-3346 - Phone
- (772) 233-7139
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
6213 NW Kukui CT
Port St Lucie, FL 34983-3346
Mailing address
6213 NW Kukui CT
Port St Lucie, FL 34983-3346
Phone (772) 233-7139
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All providers in Port St Lucie, 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 Oct 24, 2024. 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.