Provider Demographics
NPI:1821850082
Name:JOZAITIES, DAWN MARIE (RBT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:JOZAITIES
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 1:1103 NW 11TH LN
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-6123
Mailing Address - Country:US
Mailing Address - Phone:239-691-4440
Mailing Address - Fax:
Practice Address - Street 1:1103 NW 11TH LN
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-6123
Practice Address - Country:US
Practice Address - Phone:239-691-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-317431106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician