Unique Crews
Behavior Technician in Jacksonville, FL. Individual provider (NPI-1).
NPI number1104700848
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1104700848
- Entity type
- Individual (NPI-1)
- Name
- Unique Crews
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2025
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6820 Southpoint Pkwy Ste 9Jacksonville, FL 32216-6277
Phone 888-754-0398
Mailing address
6416 Nw 5th WayFort Lauderdale, FL 33309-6112
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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