Madison Brugh
Behavior Technician in Jacksonville, Florida
1568173151- Practice location
- 10175 Fortune Pkwy Unit 802, Jacksonville, FL 32256-6754
- Phone
- 904-895-5865
- Fax
- —
- Last updated
- December 6, 2022
Madison Brugh is a Behavior Technician based in Jacksonville, FL. Madison Brugh practices in Jacksonville, FL. The NPI Number for Madison Brugh is 1568173151 and holds a License No. RBT-22-247221 (FL). The current practice location address for Madison Brugh is 10175 Fortune Pkwy Unit 802, Jacksonville, FL 32256-6754 and can be reached out via phone at 904-895-5865.
Provider Profile Details
- NPI Number
- 1568173151
- Provider Name
- Madison Brugh
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10175 Fortune Pkwy Unit 802, Jacksonville, FL 32256-6754
- Phone Number
- 904-895-5865
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2022
- Last Update Date
- December 6, 2022
- Certification Date
- December 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10175 Fortune Pkwy Unit 802
Jacksonville, FL 32256-6754 - City
- Jacksonville
- State
- Florida
- Zip
- 32256-6754
- Phone Number
- 904-895-5865
Provider Business Mailing Address Details
- Address
- Po Box 253
Skillman, NJ 08558-0253 - City
- Skillman
- State
- NJ
- Zip
- 08558-0253
License Information
- License Number
- RBT-22-247221
- License State
- FL
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Jacksonville, FL
View all Behavior Technicians in Jacksonville →Frequently Asked Questions
What is the NPI number of Madison Brugh?
The NPI number of Madison Brugh is 1568173151. It was assigned on December 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Madison Brugh?
Madison Brugh is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in FL under license number RBT-22-247221.
Where does Madison Brugh practice?
The practice location is 10175 Fortune Pkwy Unit 802, Jacksonville, FL 32256-6754. The office can be reached at 904-895-5865 (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 1568173151 directly on the NPPES registry website.