Provider Demographics
NPI:1083915938
Name:BRIERE-SALTIS, JOHN M (BCABA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:BRIERE-SALTIS
Suffix:
Gender:M
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6869 SOUTHPOINT DRIVE NR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-619-6071
Mailing Address - Fax:902-212-0309
Practice Address - Street 1:6869 SOUTHPOINT DRIVE NR
Practice Address - Street 2:SUITE 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-619-6071
Practice Address - Fax:902-212-0309
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst