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NPI Code Detail

MEDICARE: KRISTA M ROWSE

MEDICARE:   KRISTA M ROWSE
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

General Provider Information

NPI Number : 1518814821
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA M ROWSE
Provider Business Mailing Address
First Line : 4124 RUSTY RUN CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-7037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4124 RUSTY RUN CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-7037
Country : US
Telephone Number : 772-324-1826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ KRISTA M ROWSE ” Practice Location

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