MEDICARE: SYDNEY KABRICH

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-24-348594	FL

General Provider Information

NPI Number	:	1306657382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY KABRICH

Provider Business Mailing Address
First Line	:	4443 BASS PL N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-6000
Country	:	US
Telephone Number	:	904-465-0090
Fax Number	:	904-212-1032

Provider Business Practice Location Address
First Line	:	4443 BASS PL N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-6000
Country	:	US
Telephone Number	:	904-465-0090
Fax Number	:	904-212-1032

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

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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Directions to “ SYDNEY KABRICH ” Practice Location

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