Provider Demographics
NPI:1740282458
Name:COLLINS, DEBORAH ANN (APRN, NP-C, BCBA)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN, NP-C, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12300 HIGHWAY A1A ALT
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2205
Mailing Address - Country:US
Mailing Address - Phone:561-803-7600
Mailing Address - Fax:561-803-7672
Practice Address - Street 1:1701 MILITARY TRL STE 142
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6325
Practice Address - Country:US
Practice Address - Phone:561-480-8820
Practice Address - Fax:561-242-1726
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-54618103K00000X
FL2961972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst