Janiya Devaughn

Individual provider Active NPI Behavior Technician · Dunnellon, FL

NPI 1811678261 · NPPES record last updated Jul 28, 2023

Key facts

NPI
1811678261
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
23287279 (FL)
Practice address
11808 N Ohio St
Dunnellon, FL 34431-6724
Phone
(352) 342-5006
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
23287279FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Behavior Solutions, LLC Single Specialty Current
since Feb 18, 2024
Accepting new patients

Locations

11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
106S00000X 23287279 FL Yes

Addresses

Primary practice location

11808 N Ohio St
Dunnellon, FL 34431-6724

Mailing address

834 N Griffith Ave
Crystal River, FL 34429-7669
Phone (352) 257-1449

Other providers in Dunnellon, FL

All providers in Dunnellon, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.