| Behavioral Foundation Centers Inc | |
|
537 Deltona Blvd Deltona FL 32725-8017 | |
| (904) 878-8683 | |
| Not Available |
| Full Name | Behavioral Foundation Centers Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 537 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Marrie Kathryn Sallade (CEO) |
| Authorized Official Contact | 3868433006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Foundation Centers Inc 179 Rabbit Run Osteen FL 32764-9461 Ph: (386) 843-3006 | Behavioral Foundation Centers Inc 537 Deltona Blvd Deltona FL 32725-8017 Ph: (904) 878-8683 |
| NPI Number | 1689170409 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689170409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-11-9657 (Florida) | Primary |
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