Individual
THERESA COBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11048 SNOWBROOK CT, JACKSONVILLE, FL 32221-4938
(904) 250-1140
(877) 310-9005
Mailing address
11048 SNOWBROOK CT, JACKSONVILLE, FL 32221-4938
(904) 250-1140
(877) 310-9005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
23070
FL
251C00000X
Developmentally Disabled Services Day Training Agency
23070
FL
3747A0650X
Attendant Care Provider
Primary
23070
FL
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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