| Dylan's Kids. Llc | |
|
155 Fountains Way Ste 13 St Johns FL 32259-1144 | |
| (904) 822-0132 | |
| Not Available |
| Full Name | Dylan's Kids. Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 155 Fountains Way Ste 13, St Johns, Florida |
| Authorized Official Name and Position | Jessica Wick (OWNER) |
| Authorized Official Contact | 9048220132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan's Kids. Llc 155 Fountains Way Ste 13 St Johns FL 32259-1144 Ph: (904) 822-0132 | Dylan's Kids. Llc 155 Fountains Way Ste 13 St Johns FL 32259-1144 Ph: (904) 822-0132 |
| NPI Number | 1164399028 |
|---|---|
| Provider Enumeration Date | 10/23/2025 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164399028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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