| Behavior Change Consultants, Llc | |
|
1158 Fountainhead Dr Largo FL 33770-4228 | |
| (727) 586-5785 | |
| (727) 585-4214 |
| Full Name | Behavior Change Consultants, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1158 Fountainhead Dr, Largo, Florida |
| Authorized Official Name and Position | Kay Darlene Brynildson (PRESIDENT) |
| Authorized Official Contact | 7275865785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Change Consultants, Llc 1158 Fountainhead Dr Largo FL 33770-4228 Ph: (727) 586-5785 | Behavior Change Consultants, Llc 1158 Fountainhead Dr Largo FL 33770-4228 Ph: (727) 586-5785 |
| NPI Number | 1235375866 |
|---|---|
| Provider Enumeration Date | 01/03/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235375866 | NPI | - | NPPES |
| 686320596 | Other | FL | MEDWAIVER HCBS |
| 686320598 | Other | FL | MEDWAIVER HCBS/FSL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1000085 (Florida) | Primary |
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