Active NPIIndividual providerSole proprietor

Karissa Preudhomme

Behavior Analyst in Deerfield Beach, Florida

NPI Number1063899599
Practice location
735 Tivoli Cir, Apt 201, Deerfield Beach, FL 33441-8112
Fax
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Last updated
April 28, 2022

Karissa Preudhomme is a Behavior Analyst based in Deerfield Beach, FL. Karissa Preudhomme practices in Deerfield Beach, FL. The NPI Number for Karissa Preudhomme is 1063899599 and holds a License No. 15-11178 (FL). The current practice location address for Karissa Preudhomme is 735 Tivoli Cir, Apt 201, Deerfield Beach, FL 33441-8112 and can be reached out via phone at 336-978-4443.

Provider Profile Details

NPI Number
1063899599
Provider Name
Karissa Preudhomme
Provider Entity Type
Individual
Gender
Female
Address
735 Tivoli Cir, Apt 201, Deerfield Beach, FL 33441-8112
Phone Number
336-978-4443
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 5, 2015
Last Update Date
April 28, 2022
Certification Date
April 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Tivoli Cir
Apt 201
Deerfield Beach, FL 33441-8112
State
Florida
Zip
33441-8112
Phone Number
336-978-4443
Deerfield Beach, FL 33441Get directions →

Provider Business Mailing Address Details

Address
58 North Ave Apt 102
Natick, MA 01760-3569
City
Natick
State
MA
Zip
01760-3569
Phone Number
336-978-4443

License Information

License Number (1)
15-11178
License State (1)
FL
Taxonomy (1)
Behavior Technician · 106S00000X
Taxonomy (2)
Developmental Therapist · 222Q00000X
License Number (3)
1-20-43664
License State (3)
MA
Taxonomy (3)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Karissa Preudhomme?

The NPI number of Karissa Preudhomme is 1063899599. It was assigned on May 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Karissa Preudhomme?

Karissa Preudhomme is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in FL under license number 15-11178.

Where does Karissa Preudhomme practice?

The practice location is 735 Tivoli Cir, Apt 201, Deerfield Beach, FL 33441-8112. The office can be reached at 336-978-4443 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063899599 directly on the NPPES registry website.

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