| Beha.vio | |
|
267 Lake Davenport Cir Davenport FL 33837-7527 | |
| (407) 952-8880 | |
| Not Available |
| Full Name | Beha.vio |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 267 Lake Davenport Cir, Davenport, Florida |
| Authorized Official Name and Position | Gillie Johanna Acosta Rivera (BEHAVIOR ANALYST) |
| Authorized Official Contact | 4079528880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beha.vio 267 Lake Davenport Cir Davenport FL 33837-7527 Ph: (407) 952-8880 | Beha.vio 267 Lake Davenport Cir Davenport FL 33837-7527 Ph: (407) 952-8880 |
| NPI Number | 1528672961 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528672961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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