Individual
IRENE BERENBLIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WHEATON LN UNIT A, PALM COAST, FL 32164-7275
(386) 307-5649
Mailing address
14 WHEATON LN UNIT A, PALM COAST, FL 32164-7275
(386) 307-5649
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
04/08/2026
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