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NPI Code Detail

MEDICARE: JADE DOBYNES RBT

MEDICARE: JADE DOBYNES RBT
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 : 1912793332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE DOBYNES RBT
Provider Business Mailing Address
First Line : 151 W CHURCH AVE
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-4105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 151 W CHURCH AVE
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-4105
Country : US
Telephone Number : 407-625-5836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 03/23/2026

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Directions to “ JADE DOBYNES RBT” Practice Location

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