Provider / Organization | NPI | Date Certified |
---|---|---|
BRITTANY RACHELLE CHUBB | 1205541265 | 2023-01-13 |
Brittany Rachelle Chubb is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205541265. Registration indicates Brittany Rachelle Chubb 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 Type | Individual |
Provider Name | Brittany Rachelle Chubb |
Practice Office Address | 12276 SAN JOSE BLVD STE 508 JACKSONVILLE, FL US |
Practice Office Telephone | 9048863228 |
Practice Office Fax | 9044858876 |
Mailing Address | 12276 SAN JOSE BLVD STE 508 JACKSONVILLE, FL 322238618 US |
Business Telephone | 9048863228 |
Business Fax | 9044858876 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
FL |