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NPI Code Detail

MEDICARE: BRITTANY DE JAN

MEDICARE: BRITTANY DE JAN
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 : 1811524366
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY DE JAN
Provider Business Mailing Address
First Line : 2138 SANDRIDGE CIR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-4486
Country : US
Telephone Number : 352-405-6532
Fax Number :
Provider Business Practice Location Address
First Line : 2138 SANDRIDGE CIR
Second Line :
City : EUSTIS
State : FL
Zip : 32726-4486
Country : US
Telephone Number : 352-405-6532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 05/30/2025

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Directions to “ BRITTANY DE JAN ” Practice Location

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