Provider Demographics
NPI:1154218402
Name:VOLMY, JADELINE
Entity type:Individual
Prefix:
First Name:JADELINE
Middle Name:
Last Name:VOLMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5423 SW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6840
Mailing Address - Country:US
Mailing Address - Phone:786-253-9830
Mailing Address - Fax:786-253-9830
Practice Address - Street 1:5423 SW 41ST ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-6840
Practice Address - Country:US
Practice Address - Phone:786-253-9830
Practice Address - Fax:786-253-9830
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT25437738103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst