Phylicia Jean Bugna
Behavior Technician in St Petersburg, FL. Individual provider (NPI-1).
NPI number1336775600
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1336775600
- Entity type
- Individual (NPI-1)
- Name
- Phylicia Jean Bugna
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
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 | RBT-20-114086 | FL | Yes |
Practice location
3190 Tyrone Blvd NSt Petersburg, FL 33710-2919
Phone 727-345-9111
Mailing address
3190 Tyrone Blvd NSt Petersburg, FL 33710-2919
Phone 727-345-9111
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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