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NPI Code Detail

MEDICARE: KRISHAUNA COLBERT

MEDICARE:   KRISHAUNA  COLBERT
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 Analyst
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician1861296329FL

General Provider Information

NPI Number : 1861296329
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHAUNA COLBERT
Provider Business Mailing Address
First Line : 3255 PRIME PARK CIR APT 437
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-1894
Country : US
Telephone Number : 667-304-8166
Fax Number :
Provider Business Practice Location Address
First Line : 4727 W IRLO BRONSON MEMORIAL HWY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5326
Country : US
Telephone Number : 407-978-6085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2025
Last Update Date : 04/17/2026

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Directions to “ KRISHAUNA COLBERT ” Practice Location

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