Behavior Functional Focus Clinic | |
161 N Causeway Ste A New Smyrna Beach FL 32169-5328 | |
(386) 214-3170 | |
Not Available |
Full Name | Behavior Functional Focus Clinic |
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Speciality | Clinic/Center |
Location | 161 N Causeway Ste A, New Smyrna Beach, Florida |
Authorized Official Name and Position | John Yee (OWNER) |
Authorized Official Contact | 3864243320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behavior Functional Focus Clinic 3900 Clark Rd Ste L2 Sarasota FL 34233-2375 Ph: (386) 214-3170 | Behavior Functional Focus Clinic 161 N Causeway Ste A New Smyrna Beach FL 32169-5328 Ph: (386) 214-3170 |
NPI Number | 1740056498 |
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Provider Enumeration Date | 12/04/2023 |
Last Update Date | 09/30/2024 |
Certification Date | 09/30/2024 |
Medicare PECOS PAC ID | 2567801053 |
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Medicare Enrollment ID | O20240417000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740056498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Megan Nicole James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578344552 PECOS PAC ID: 0648619130 Enrollment ID: I20240417000241 |
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