MEDICARE: KEISHA JN DUVERNY

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-25-487970	FL

General Provider Information

NPI Number	:	1871457168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEISHA JN DUVERNY

Provider Business Mailing Address
First Line	:	231 SW 9TH ST APT B
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7064
Country	:	US
Telephone Number	:	786-929-7380
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 SW 9TH ST APT B
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7064
Country	:	US
Telephone Number	:	786-929-7380
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

Similar Medicare Providers

1124972575 — SAMUEL SAINT FLEUR
Practice Location Address:

231 SW 9TH ST APT B
HALLANDALE BEACH, FL
33009-7064

Practice Phone: 754-286-9179
Practice Fax:

1730322611 — DR. JONATHAN ERIC SMITH PHD, LMFT
Practice Location Address:

1664 CHESTWOOD DR
VIRGINIA BEACH, VA
23453-7064

Practice Phone: 757-412-7753
Practice Fax: 757-301-6920

1689934275 — ANDREA CURNEY BCBA
Practice Location Address:

1680 CHESTWOOD DR
VIRGINIA BEACH, VA
23453-7064

Practice Phone: 757-635-5093
Practice Fax:

1396149829 — THE WELLNESS COLLABORATIVE
Practice Location Address:

1664 CHESTWOOD DR
VIRGINIA BEACH, VA
23453-7064

Practice Phone: 757-412-7753
Practice Fax: 757-301-6920

1578911442 — MARCIA SOBREIRA DE CARVALHO APRN, RN
Practice Location Address:

1724 E HALLANDALE BEACH BLVD STE 2A
HALLANDALE BEACH, FL
33009-4611

Practice Phone: 954-456-9696
Practice Fax: 954-456-9626

1720923592 — POLLUX LABORATORY INC
Practice Location Address:

1920 E HALLANDALE BEACH BLVD STE 906A
HALLANDALE BEACH, FL
33009-4733

Practice Phone: 954-589-5060
Practice Fax: 954-589-5253

Directions to “ KEISHA JN DUVERNY ” 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.