| Act Life Transitions | |
|
2965 Limpet Ct Indialantic FL 32903-1825 | |
| (321) 265-7557 | |
| Not Available |
| Full Name | Act Life Transitions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2965 Limpet Ct, Indialantic, Florida |
| Authorized Official Name and Position | Carrie Erin Connelly (COO OF CLINICAL PROGRAM DEVELOPMENT) |
| Authorized Official Contact | 3212657557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Act Life Transitions 2965 Limpet Ct Indialantic FL 32903-1825 Ph: (321) 265-7557 | Act Life Transitions 2965 Limpet Ct Indialantic FL 32903-1825 Ph: (321) 265-7557 |
| NPI Number | 1881113629 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881113629 | NPI | - | NPPES |
| 1-04-2044 | Other | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-04-2044 (* (Not Available)) | Primary |
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