Nikita Legon
Behavior Technician in Venice, FL. Individual provider (NPI-1).
NPI number1902496243
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1902496243
- Entity type
- Individual (NPI-1)
- Name
- Nikita Legon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2021
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-149886 | FL | Yes |
Practice location
417 Commercial Ct Ste CVenice, FL 34292-1655
Phone 800-356-4049 · Fax 941-485-0519
Mailing address
5 Revere Dr Ste 120Northbrook, IL 60062-8005
Phone 800-356-4049 · Fax 941-485-0519
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