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Contact Information

KIMBERLY L CRUISE, LMHC, BCABA
2317 BLANDING BLVD
STE 102
JACKSONVILLE, FL32210
 Phone: 904-476-8956
 Fax: 904-387-8950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY L CRUISE · (Female)

NPI Number 1013245893
Status Active
Credentials LMHC, BCABA
Entity Individual
Enumeration date 12/07/2009
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 0041234
  • FL License # MH 10245
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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