MEDICARE: FRANCINE SIMPLICE RBT

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	106S00000X	Behavior Technician	BACB1113126	FL

General Provider Information

NPI Number	:	1851129100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE SIMPLICE RBT

Provider Business Mailing Address
First Line	:	2899 ALPIN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-8871
Country	:	US
Telephone Number	:	904-339-5548
Fax Number	:

Provider Business Practice Location Address
First Line	:	1934 RETAW ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-3134
Country	:	US
Telephone Number	:	904-339-5548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	07/26/2024

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Directions to “ FRANCINE SIMPLICE RBT” Practice Location

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