| Behavior Services Of Brevard County | |
|
550 Solutions Way Rockledge FL 32955-3620 | |
| (321) 739-9800 | |
| Not Available |
| Full Name | Behavior Services Of Brevard County |
|---|---|
| Speciality | Behavior Analyst |
| Location | 550 Solutions Way, Rockledge, Florida |
| Authorized Official Name and Position | Karen Wagner (CEO/PRESIDENT) |
| Authorized Official Contact | 3216399800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Services Of Brevard County 36227 E Eldorado Lake Dr Eustis FL 32736-9474 Ph: (941) 357-6840 | Behavior Services Of Brevard County 550 Solutions Way Rockledge FL 32955-3620 Ph: (321) 739-9800 |
| NPI Number | 1750828323 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750828323 | NPI | - | NPPES |
| S60061568500 | Other | FL | DRIVER'S LICENSE NUMBER |
| 1041993 | Other | FL | BCBA-D CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1041993 (Florida) | Primary |
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