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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWENDOLYN BLACK

Active

GWENDOLYN BLACK is a Behavior Technician healthcare provider located in FORT WALTON BEACH, Florida. NPI 1023882651 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · FORT WALTON BEACH, FL

Registration Details

NPI Number
1023882651
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2023 (2.7526280176809 yrs)
Last Updated
Nov 14, 2023

Practice Information

Address
1981 LEWIS TURNER BLVD
FORT WALTON BEACH, FL, 325471256
Browse FL providers · Browse ZIP 32547
Phone
7182155311
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in FORT WALTON BEACH, FL

Name Credential NPI
MATTHEW TYMON 1326491804
VICTORIA CROMWELL 1962954164
ANDREA HARRIS 1477097475
BILLIE NICOLE ROOT 1538697867
EVELYN RAMOS 1528597598
MRS. ELIZABETH IRENE HART RBT 1003336462
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.