Behavior Launch | |
824 Banbury Dr Port Orange FL 32129-3753 | |
(407) 221-3076 | |
Not Available |
Full Name | Behavior Launch |
---|---|
Speciality | Community/behavioral Health |
Location | 824 Banbury Dr, Port Orange, Florida |
Authorized Official Name and Position | Allison Berard (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4072213076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavior Launch 824 Banbury Dr Port Orange FL 32129-3753 Ph: (407) 221-3076 | Behavior Launch 824 Banbury Dr Port Orange FL 32129-3753 Ph: (407) 221-3076 |
NPI Number | 1831683408 |
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Provider Enumeration Date | 06/18/2018 |
Last Update Date | 06/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831683408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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