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NPI Code Detail

MEDICARE: KATE ROSE RBT

MEDICARE: KATE ROSE 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225581291
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE ROSE RBT
Provider Business Mailing Address
First Line : 9000 SOUTHSIDE BLVD BLDG 900
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9000 SOUTHSIDE BLVD BLDG 900
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0791
Country : US
Telephone Number : 904-732-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2016
Last Update Date : 12/08/2025

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Directions to “ KATE ROSE RBT” Practice Location

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