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Individual

BROOKS BERNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 SIMONE WAY, SAINT AUGUSTINE, FL 32086-7750
(904) 829-1770
Mailing address
10901 BURNT MILL RD APT 306, JACKSONVILLE, FL 32256-2846
(904) 699-8335

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-92010
FL
171M00000X
Case Manager/Care Coordinator
Primary
222Q00000X
Developmental Therapist

Other

Enumeration date
07/10/2019
Last updated
10/06/2021
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