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NPI Code Detail

MEDICARE: SAVANNAH ROSE ARMISTEAD RBT

MEDICARE: SAVANNAH ROSE ARMISTEAD RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-20-143317FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053829176
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH ROSE ARMISTEAD RBT
Provider Business Mailing Address
First Line : 1300 N PALAFOX ST STE 103
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2678
Country : US
Telephone Number : 850-860-2903
Fax Number : 888-751-4019
Provider Business Practice Location Address
First Line : 1300 N PALAFOX ST STE 103
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2678
Country : US
Telephone Number : 850-860-2903
Fax Number : 888-751-4019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 07/01/2025

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Directions to “ SAVANNAH ROSE ARMISTEAD RBT” Practice Location

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