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NPI Code Detail

MEDICARE: DEBORAH ANN COLLINS APRN, NP-C, BCBA

MEDICARE:   DEBORAH ANN COLLINS  APRN, NP-C, 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
1103K00000XBehavior Analyst1-21-54618FL
2363LF0000XFamily Nurse Practitioner2961972FL

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 : 1740282458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN COLLINS APRN, NP-C, BCBA
Provider Business Mailing Address
First Line : 12300 HIGHWAY A1A ALT
Second Line : SUITE 112
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2205
Country : US
Telephone Number : 561-803-7600
Fax Number : 561-803-7672
Provider Business Practice Location Address
First Line : 1701 MILITARY TRL STE 142
Second Line :
City : JUPITER
State : FL
Zip : 33458-6325
Country : US
Telephone Number : 561-480-8820
Fax Number : 561-242-1726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 11/15/2021

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Directions to “ DEBORAH ANN COLLINS APRN, NP-C, BCBA” Practice Location

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