Jillian Wade
Behavior Technician in Clearwater, FL. Individual provider (NPI-1).
NPI number1669242525
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1669242525
- Entity type
- Individual (NPI-1)
- Name
- Jillian Wade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2024
- Certification date
- Jan 2, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
29228 Us Highway 19 NClearwater, FL 33761-2101
Phone 727-351-4191
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
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All 371 Behavior Technician providers in Clearwater · All 6,156 providers in Clearwater
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