Provider Demographics
NPI:1851701759
Name:ZABRAUSKAS, JAMI
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:
Last Name:ZABRAUSKAS
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 1:960 NW FRESCO WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3546
Mailing Address - Country:US
Mailing Address - Phone:772-361-5149
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:2400 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4591
Practice Address - Country:US
Practice Address - Phone:772-678-6704
Practice Address - Fax:772-221-9969
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008308800Medicaid