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Mrs. Kerri S. Licini

Behavior Analyst

1700 Wells Rd # 15-16
Orange Park , Florida 32073-2337

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Mrs. Kerri S. Licini

Behavior Analyst

1700 Wells Rd # 15-16
Orange Park , Florida 32073-2337

(904) 637-1400

Write a Review Save Call

Mrs. Kerri S. Licini

Behavior Analyst

1700 Wells Rd # 15-16
Orange Park , Florida 32073-2337

(904) 637-1400 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Behavior Analyst

Languages spoken

  • English

Location

1700 Wells Rd # 15-16 Orange Park , Florida 32073-2337

First Address

  • Mrs. Kerri S. Licini
  • 1700 Wells Rd # 15-16
  • Orange Park, FL
  • Zip : 32073-2337
  • Fax : (904) 637-1400
  • Phone : (904) 637-1400

Second Address

  • Mrs. Kerri S. Licini
  • 1700 Wells Rd # 15-16
  • Orange Park, FL
  • Zip : 32073-2337
  • Fax : (904) 637-1400
  • Phone : (904) 637-1400

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FAQs


Where did Mrs. Kerri S. Licini attend graduate school?

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Where did Mrs. Kerri S. Licini do her residency?

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Where did Mrs. Kerri S. Licini do her fellowship?

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Is Mrs. Kerri S. Licini board certified?

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What type of doctor is Mrs. Kerri S. Licini

Behavior Analyst

In what state does Mrs. Kerri S. Licini practice in?

Florida

Where is Mrs. Kerri S. Licini ’s practice located?

1700 Wells Rd # 15-16 , Orange Park, Florida, 32073-2337

What is Mrs. Kerri S. Licini ’s gender?

Female

Is Mrs. Kerri S. Licini a sole practitioner?

No

Is Mrs. Kerri S. Licini accepting new patients?

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What languages does Mrs. Kerri S. Licini speak?

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Does Mrs. Kerri S. Licini accept insurance?

Yes, Mrs. Kerri S. Licini accepts insurance

Does Mrs. Kerri S. Licini offers telemedicine?

Mrs. Kerri S. Licini has not indicated if she offers telemedicine

What is Mrs. Kerri S. Licini ’s professional license number?

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What is Mrs. Kerri S. Licini ’s NPI number?

1003119504

Does Mrs. Kerri S. Licini have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103K00000X Behavior Analyst

National Provider Identifier

NPI 1003119504
Provider Name Mrs. Kerri S. Licini
First Address Orange Park, FL 32073-2337
Second Address Orange Park, FL 32073-2337
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/12/2010
Last Update Date 22/07/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1-13-14323 1-13-14323 (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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