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Elizabeth Mack

Assistant Behavior Analyst in Jacksonville, FL. Individual provider (NPI-1).

NPI number1699319210
StatusActive
Last updated in NPPESNov 6, 2019

Details

NPI
1699319210
Entity type
Individual (NPI-1)
Name
Elizabeth Mack
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2019
Last updated
Nov 6, 2019

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 codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst–FLYes

Practice location

7929 Eaton Ave
Jacksonville, FL 32211-7848

Phone 904-420-2304

Mailing address

7929 Eaton Ave
Jacksonville, FL 32211-7848

Phone 907-725-4410

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.

Other Assistant Behavior Analyst providers in Jacksonville, FL

All 52 Assistant Behavior Analyst providers in Jacksonville · All 31,644 providers in Jacksonville

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