NPI Registry.org

Justin Keith Underwood

NPI Registration Record

Provider / OrganizationNPIDate Certified
JUSTIN KEITH UNDERWOOD10136535262022-05-08

Justin Keith Underwood is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013653526. Registration indicates Justin Keith Underwood is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider NameMr. Justin Keith Underwood
Practice Office Address12304 FOUNTAIN COIN WAY
CLERMONT, FL US
Practice Office Telephone6155619282
Mailing Address12304 FOUNTAIN COIN WAY
CLERMONT, FL 347118085 US
Business Telephone6155619282
HPT Codes
CodePractice
License No
State
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
RBT-22-214786
FL
OPI Codes
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