| Behavioral Evolution, Inc. | |
|
4429 Beauchamp Ct Sarasota FL 34243-2685 | |
| (727) 403-6171 | |
| Not Available |
| Full Name | Behavioral Evolution, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4429 Beauchamp Ct, Sarasota, Florida |
| Authorized Official Name and Position | Anthony Stover (OWNER) |
| Authorized Official Contact | 7274036171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Evolution, Inc. 4429 Beauchamp Ct Sarasota FL 34243-2685 Ph: () - | Behavioral Evolution, Inc. 4429 Beauchamp Ct Sarasota FL 34243-2685 Ph: (727) 403-6171 |
| NPI Number | 1417263260 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417263260 | NPI | - | NPPES |
| 017424100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-04-1699 (Florida) | Primary |
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