| Behavior Analysis Solutions | |
|
692 Greenglen Ln Palm Harbor FL 34684-3024 | |
| (727) 504-6539 | |
| (727) 322-9839 |
| Full Name | Behavior Analysis Solutions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 692 Greenglen Ln, Palm Harbor, Florida |
| Authorized Official Name and Position | Matt Potak (PRESIDENT) |
| Authorized Official Contact | 7275046539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis Solutions 692 Greenglen Ln Palm Harbor FL 34684-3024 Ph: (727) 504-6539 | Behavior Analysis Solutions 692 Greenglen Ln Palm Harbor FL 34684-3024 Ph: (727) 504-6539 |
| NPI Number | 1578867941 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578867941 | NPI | - | NPPES |
| 686457196 | Other | FL | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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