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BROOKS BERNSTEIN
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1407408594
Individual Registrant: BROOKS BERNSTEIN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
201 SIMONE WAY SAINT AUGUSTINE, FL 32086-7750 US
Tel: 904-829-1770 Fax: --
Tel: 904-829-1770 Fax: --
Contact information for business:
10901 BURNT MILL RD APT 306 JACKSONVILLE, FL 32256-2846 US
Tel: 904-699-8335 Fax: --
Tel: 904-699-8335 Fax: --
Registration Information:
NPI: 1407408594
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator | ||
| N | 106S00000X | FL | RBT-19-92010 | |
| N | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
