Individual provider · NPI-1

Abednerys Abad Heredia

Behavior Technician · Jacksonville, FL

NPI number1689336372
StatusActive
Last updated in NPPESOct 3, 2025

Details

NPI
1689336372
Entity type
Individual (NPI-1)
Name
Abednerys Abad Heredia
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2021
Certification date
Oct 3, 2025
Last updated
Oct 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-21-165058FLYes

Practice location

12724 Grand Bay Parkway West
Suite 410
Jacksonville, FL 32258-9486

Phone 855-832-6727

Mailing address

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Phone 813-409-4122

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