Brittni Purdy
Technician, Other in Melbourne, FL. Individual provider (NPI-1).
NPI number1982155073
StatusActive
Last updated in NPPESJan 9, 2017
Details
- NPI
- 1982155073
- Entity type
- Individual (NPI-1)
- Name
- Brittni Purdy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2016
- Last updated
- Jan 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 106S00000X | Behavior Technician | – | FL |
Practice location
470 Kimberly DrMelbourne, FL 32940-7772
Phone 321-914-4055
Mailing address
2123 Tree Ridge Ln NePalm Bay, FL 32905-8616
Phone 321-265-9855
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