Individual provider · Type 1 NPI

Genesis Dupristle, BCBA

Developmental Therapist · Jacksonville, FL

NPI number 1124443254 Active

Practice location

3771 San Jose Pl, Suite 22
Jacksonville, FL 32257

Call (904) 928-0112 Map

Mailing address

2893 Sydney St, Apt 1
Jacksonville, FL 32205-8040

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	None listed

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 1124443254

Genesis Dupristle, BCBA's National Provider Identifier is 1124443254, issued on Feb 26, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 31, 2018.