Higginbotham, Brandi Marie

Higginbotham, Brandi Marie is an individual health care provider with primary practice located at 31 W Adams St , Jacksonville FL 32202-3605. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Higginbotham, Brandi Marie can be contacted via phone (704) 277-1884.

Contact Information

Primary practice address
31 W Adams St Jacksonville FL 32202-3605
Phone: (704) 277-1884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 18-51034 Florida

Profile Details

NPI number 1922553882
LBN Legal business name Higginbotham, Brandi Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2016
Last updated Jun 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922553882 NPPES
Florida MEDICAID 705825

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