MEDICARE: TOBY AND CHRISTINE HONSBERGER, LLC.

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1366777955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOBY AND CHRISTINE HONSBERGER, LLC.

Provider Business Mailing Address
First Line	:	141 E BAY CEDAR CIR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 E BAY CEDAR CIR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7105
Country	:	US
Telephone Number	:	561-427-3711
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE FLORENTINO HONSBERGER
Credential	:	BCBA
Telephone Number	:	561-427-3711

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	10/15/2009

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