| Trustinghim | |
|
6789 Southpoint Pkwy Ste 100 Jacksonville FL 32216 | |
| (904) 556-7330 | |
| Not Available |
| Full Name | Trustinghim |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6789 Southpoint Pkwy Ste 100, Jacksonville, Florida |
| Authorized Official Name and Position | Melissa Kramer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9045567330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustinghim 1808 Forest Glen Way St Augustine FL 32092-1003 Ph: (904) 477-7568 | Trustinghim 6789 Southpoint Pkwy Ste 100 Jacksonville FL 32216 Ph: (904) 556-7330 |
| NPI Number | 1710477484 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710477484 | NPI | - | NPPES |
| 1851712673 | Medicaid | FL | |
| 1558345421 | Medicaid | FL | |
| 1609267319 | Medicaid | FL | |
| 1992126718 | Medicaid | FL | |
| 1275089914 | Medicaid | FL | |
| 1700323011 | Medicaid | FL | |
| 1225450265 | Medicaid | FL | |
| 1245749100 | Medicaid | FL | |
| 1477717346 | Medicaid | FL | |
| 1568841708 | Medicaid | FL | |
| 1700178282 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1366884009 (Florida) | Primary |
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