Individual provider · Type 1 NPI

Nicole Eller

Developmental Therapist · Jacksonville, FL

NPI number 1033723481 Active

Practice location

6907 Pickettville Rd
Jacksonville, FL 32220-2475

Call (904) 510-2079 Map

Mailing address

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	None listed
Behavior Technician	106S00000X	RBT-20-133075 (FL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1033723481

Nicole Eller's National Provider Identifier is 1033723481, issued on Sep 3, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 3, 2024.