| Behavioral Independence | |
|
3520 Cumberlin Ct Titusville FL 32780-5106 | |
| (321) 522-9949 | |
| Not Available |
| Full Name | Behavioral Independence |
|---|---|
| Speciality | Behavior Technician |
| Location | 3520 Cumberlin Ct, Titusville, Florida |
| Authorized Official Name and Position | Amanda Lang (HEAD SUPERVISOR) |
| Authorized Official Contact | 3865620170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Independence 3520 Cumberlin Ct Titusville FL 32780-5106 Ph: () - | Behavioral Independence 3520 Cumberlin Ct Titusville FL 32780-5106 Ph: (321) 522-9949 |
| NPI Number | 1215641022 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215641022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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