MEDICARE: JANAE DONN

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
1	106S00000X	Behavior Technician	RBT-23-314569	FL

General Provider Information

NPI Number	:	1114794658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAE DONN

Provider Business Mailing Address
First Line	:	384 NW 16TH PL
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-5126
Country	:	US
Telephone Number	:	954-257-2822
Fax Number	:

Provider Business Practice Location Address
First Line	:	384 NW 16TH PL
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-5126
Country	:	US
Telephone Number	:	954-257-2822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	12/05/2023

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Directions to “ JANAE DONN ” Practice Location

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