Provider Demographics
NPI:1295375160
Name:DOWNER, NADINE LEONIE (RBT)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:LEONIE
Last Name:DOWNER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 RUSHMORE AVE N
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-7138
Mailing Address - Country:US
Mailing Address - Phone:954-678-7500
Mailing Address - Fax:
Practice Address - Street 1:1122 RUSHMORE AVE N
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-7138
Practice Address - Country:US
Practice Address - Phone:954-678-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician