NPI 1003119504
Kerri S. Licini, MAMAEDBCBA
Practice location
- Address
- 782 Foxridge Center Dr, Orange Park, FL 32065-5776
- Phone
- (904) 637-1400
- Fax
- (904) 800-4880
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1003119504
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2010
- Record last updated
- 28 Jul 2024
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.