Healthcare Provider Details

I. General information

NPI: 1245826437
Provider Name (Legal Business Name): NFTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2020
Last Update Date: 12/12/2020
Certification Date: 12/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 N STEWART ST
QUINCY FL
32351-2335
US

IV. Provider business mailing address

3304 NORTHSHORE CIR
TALLAHASSEE FL
32312-1304
US

V. Phone/Fax

Practice location:
  • Phone: 850-566-5029
  • Fax: 850-807-2970
Mailing address:
  • Phone: 850-566-5029
  • Fax: 850-807-2970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ABBIE BLACKMAN
Title or Position: OWNER/PRESIDENT
Credential: MS, CCC-SLP
Phone: 850-566-5029