| A Core Connection Services And Consulting, Llc | |
|
2135 W State Road 434 Longwood FL 32779-4983 | |
| (407) 789-2673 | |
| (407) 612-2359 |
| Full Name | A Core Connection Services And Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2135 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Kelly Greene (OPERATIONS DIRECTOR/OWNER) |
| Authorized Official Contact | 4076394047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Core Connection Services And Consulting, Llc 2135 W State Road 434 Longwood FL 32779-4983 Ph: (407) 789-2673 | A Core Connection Services And Consulting, Llc 2135 W State Road 434 Longwood FL 32779-4983 Ph: (407) 789-2673 |
| NPI Number | 1629647847 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629647847 | NPI | - | NPPES |
| 101145500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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