| Allay Behavioral Therapy, Llc | |
|
1750 Tree Blvd Ste 6 St Augustine FL 32084-5719 | |
| (904) 206-7024 | |
| (866) 374-7560 |
| Full Name | Allay Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1750 Tree Blvd Ste 6, St Augustine, Florida |
| Authorized Official Name and Position | Ryan Wilkerson (OWNER/MEMBER) |
| Authorized Official Contact | 6149002403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allay Behavioral Therapy, Llc 1750 Tree Blvd Ste 6 St Augustine FL 32084-5719 Ph: (904) 206-7024 | Allay Behavioral Therapy, Llc 1750 Tree Blvd Ste 6 St Augustine FL 32084-5719 Ph: (904) 206-7024 |
| NPI Number | 1235886466 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235886466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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