Kaeli Amanda Thomas
Behavior Technician in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1730686239
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1730686239
- Entity type
- Individual (NPI-1)
- Name
- Kaeli Amanda Thomas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Last updated
- Apr 11, 2018
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
10850 S Us Highway 1 Ste 2Port St Lucie, FL 34952-6407
Phone 772-463-0444
Mailing address
10850 S Us Highway 1 Ste 2Port St Lucie, FL 34952-6407
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 441 Behavior Technician providers in Port St Lucie · All 3,747 providers in Port St Lucie
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