| Back 2 Basics Behavior Therapy | |
|
2808 Hawks Landing Blvd Panama City FL 32405-6659 | |
| (615) 948-7203 | |
| Not Available |
| Full Name | Back 2 Basics Behavior Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2808 Hawks Landing Blvd, Panama City, Florida |
| Authorized Official Name and Position | Alicia N White (OWNER/OPERATOR) |
| Authorized Official Contact | 6159487203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back 2 Basics Behavior Therapy 2808 Hawks Landing Blvd Panama City FL 32405-6659 Ph: (615) 948-7203 | Back 2 Basics Behavior Therapy 2808 Hawks Landing Blvd Panama City FL 32405-6659 Ph: (615) 948-7203 |
| NPI Number | 1487148383 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487148383 | NPI | - | NPPES |
| 017740500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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