Provider / Organization | NPI | Date Certified |
---|---|---|
EMMA RENEE DEVINE | 1558938944 | 2021-06-05 |
Emma Renee Devine is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558938944. Registration indicates Emma Renee Devine 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 | Emma Renee Devine RBT |
Practice Office Address | 4750 COLLEGIATE DR PANAMA CITY, FL US |
Practice Office Telephone | 8507702241 |
Mailing Address | 4750 COLLEGIATE DR PANAMA CITY, FL 324051000 US |
Business Telephone | 8507702241 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-19-101749
FL |