| Behavior Heights Corp | |
|
405 Lake View Ln Palm Bay FL 32909-7126 | |
| (786) 773-8356 | |
| Not Available |
| Full Name | Behavior Heights Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 405 Lake View Ln, Palm Bay, Florida |
| Authorized Official Name and Position | Jessica M Medina (SVP) |
| Authorized Official Contact | 7867738356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Heights Corp 405 Lake View Ln Palm Bay FL 32909-7126 Ph: (786) 773-8356 | Behavior Heights Corp 405 Lake View Ln Palm Bay FL 32909-7126 Ph: (786) 773-8356 |
| NPI Number | 1609559764 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609559764 | NPI | - | NPPES |
| 1548751993 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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