Provider Demographics
NPI:1881583383
Name:KING, JANEA
Entity type:Individual
Prefix:MS
First Name:JANEA
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANEA
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11024 WHITTNEY CHASE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7126
Mailing Address - Country:US
Mailing Address - Phone:850-694-7308
Mailing Address - Fax:
Practice Address - Street 1:5826 EUNICE CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6746
Practice Address - Country:US
Practice Address - Phone:850-694-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services