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NPI Code Detail

MEDICARE: MRS. KARMA B FLOTKOETTER BCBA

MEDICARE: MRS. KARMA B FLOTKOETTER BCBA
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
1101YM0800XMental Health CounselorMH24984FL
2103K00000XBehavior Analyst11212210

General Provider Information

NPI Number : 1366796708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARMA B FLOTKOETTER BCBA
Provider Business Mailing Address
First Line : 2377 MARKET DR
Second Line :
City : FLEMING ISLAND
State : FL
Zip : 32003-4326
Country : US
Telephone Number : 904-579-4779
Fax Number :
Provider Business Practice Location Address
First Line : 2377 MARKET DR
Second Line :
City : FLEMING ISLAND
State : FL
Zip : 32003-4326
Country : US
Telephone Number : 904-579-4779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2012
Last Update Date : 03/10/2025

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