Provider Demographics
NPI:1821749086
Name:TURNER, FALYN A (RBT)
Entity Type:Individual
Prefix:
First Name:FALYN
Middle Name:A
Last Name:TURNER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:FALYN
Other - Middle Name:A
Other - Last Name:RIEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:96441 COMMODORE POINT DR
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-6570
Mailing Address - Country:US
Mailing Address - Phone:133-725-3480
Mailing Address - Fax:
Practice Address - Street 1:87009 PROFESSIONAL WAY
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-3400
Practice Address - Country:US
Practice Address - Phone:904-544-5276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB708114106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician