Breanna Douglas
Breanna Douglas is an Other Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.
- Licensed in
- FL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-395576 (FL) |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1164243374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 21, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 1710 Southern Belle Ln, Port Orange, FL 32128-7531 |
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