Jenaya Gustavia Knuckles
Behavior Technician in Longwood, FL. Individual provider (NPI-1).
NPI number1124874052
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1124874052
- Entity type
- Individual (NPI-1)
- Name
- Jenaya Gustavia Knuckles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
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
1775 W State Road 434Longwood, FL 32750-5067
Phone 407-606-7858
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-244-1818
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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All 199 Behavior Technician providers in Longwood · All 1,778 providers in Longwood
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