Bruce Keanu Jeter
Bruce Keanu Jeter is a Behavior Technician in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
755 SW Broadview StPort Saint Lucie, FL 34983-8760
Phone: (845) 492-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (FL) |
|---|
Record details
| NPI number | 1285316513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 4, 2023 |
| Last updated in NPPES | August 4, 2023 |
| Certification date | August 4, 2023 |
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