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NPI Code Detail

MEDICARE: AMELIA CARMOSINO

MEDICARE: AMELIA CARMOSINO
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 : 1770222697
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA CARMOSINO
Provider Business Mailing Address
First Line : 20601 N 19TH AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2666
Country : US
Telephone Number : 530-569-0530
Fax Number :
Provider Business Practice Location Address
First Line : 12724 GRAN BAY PKWY W STE 410
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-9486
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2022
Last Update Date : 02/07/2026

Similar Medicare Providers

1548078629 — SIOBHAN STEWART
Practice Location Address:
12724 GRAN BAY PKWY W STE 410
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Practice Fax:
1073464749 — TIFFANY T GADSON
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1649309006 — ANITA MORENO LISW
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Practice Phone: 904-337-9003
Practice Fax: 904-485-8704
1982863346 — MR. MICHAEL JAMES BROWN LMFT
Practice Location Address:
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL
32258-9486
Practice Phone: 904-289-2954
Practice Fax:
1427491414 — DR. DANIELA A KLOOS MD
Practice Location Address:
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JACKSONVILLE, FL
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Practice Fax:
1841637428 — STEPHANIE BACKOF HOLMES KINNARE PSYCHOLOGIST
Practice Location Address:
12724 GRAN BAY PKWY W STE 410
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Practice Fax:

Directions to “ AMELIA CARMOSINO ” Practice Location

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