| Act Life Transitions, Llc. | |
|
2965 Limpet Ct Indialantic FL 32903-1825 | |
| (321) 265-7557 | |
| Not Available |
| Full Name | Act Life Transitions, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2965 Limpet Ct, Indialantic, Florida |
| Authorized Official Name and Position | Carrie Erin Connelly (COO DIR. CLINICAL PROGRAMMING) |
| Authorized Official Contact | 3212657557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Act Life Transitions, Llc. 2965 Limpet Ct Indialantic FL 32903-1825 Ph: (321) 265-7557 | Act Life Transitions, Llc. 2965 Limpet Ct Indialantic FL 32903-1825 Ph: (321) 265-7557 |
| NPI Number | 1225556244 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225556244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-04-2044 (Florida) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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