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NPI Code Detail

MEDICARE: AMBER BORNS

MEDICARE: AMBER BORNS
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1356292601
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER BORNS
Provider Business Mailing Address
First Line : 4400 DELESPINE RD
Second Line :
City : COCOA
State : FL
Zip : 32927-3552
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1802 S FISKE BLVD STE 201
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3007
Country : US
Telephone Number : 321-634-3688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ AMBER BORNS ” Practice Location

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