DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA QUAM

MEDICARE: JESSICA QUAM
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 Technician

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 : 1316342264
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA QUAM
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 407-915-7729
Fax Number :
Provider Business Practice Location Address
First Line : 17815 HUNTING BOW CIR
Second Line :
City : LUTZ
State : FL
Zip : 33558-5401
Country : US
Telephone Number : 813-491-4425
Fax Number : 813-482-9790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 10/28/2019

Similar Medicare Providers

1841145224 — CIERRA DENISE CANGEME
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 813-491-4425
Practice Fax:
1063386027 — EMMA O STEVENS
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 813-491-4425
Practice Fax:
1508153701 — MARILYN PRCIC BCBA
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 866-610-0580
Practice Fax:
1841546199 — DR. NICOLETTE LORNA CHRISTIANS BCBA-D
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 813-491-4425
Practice Fax:
1073963591 — BRANDY DONOVAN
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 813-491-4425
Practice Fax:
1942743117 — FLORIDA AUTISM CENTER
Practice Location Address:
17815 HUNTING BOW CIR
LUTZ, FL
33558-5401
Practice Phone: 866-610-0580
Practice Fax:

Directions to “ JESSICA QUAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.