Achieve Behavioral Development Services | |
4060 Sunset Lake Dr Lakeland FL 33810-2841 | |
(863) 670-1900 | |
Not Available |
Full Name | Achieve Behavioral Development Services |
---|---|
Speciality | Behavior Analyst |
Location | 4060 Sunset Lake Dr, Lakeland, Florida |
Authorized Official Name and Position | Michael T Medlin (OWNER/CEO) |
Authorized Official Contact | 8636701900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Achieve Behavioral Development Services 4060 Sunset Lake Dr Lakeland FL 33810-2841 Ph: (863) 670-1900 | Achieve Behavioral Development Services 4060 Sunset Lake Dr Lakeland FL 33810-2841 Ph: (863) 670-1900 |
NPI Number | 1821530841 |
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Provider Enumeration Date | 11/08/2016 |
Last Update Date | 11/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821530841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-17191 (* (Not Available)) | Primary |
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