NPI 1316509896
Licini INC
Practice location
- Address
- 782 Foxridge Center Drive, Orange Park, FL 32065
- Phone
- (904) 637-1400
- Fax
- (904) 800-4880
Authorised official
- Name
- Kerri S Licini
- Title
- Owner/Director
- Phone
- (904) 637-1400
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1316509896
- Entity type
- Organization
- NPI issued
- 3 Jul 2019
- Record last updated
- 15 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.