Individual provider · Type 1 NPI

Banyan Botkin

Developmental Therapist · Jacksonville, FL

NPI number 1851717425 Active

Practice location

4308 Hanover Park Dr
Jacksonville, FL 32224-8602

Call (904) 465-1049 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1851717425

Banyan Botkin's National Provider Identifier is 1851717425, issued on Mar 6, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 6, 2014.