| Behaviorist Edge, Llc | |
|
3584 Gatlin Place Cir Orlando FL 32812-7753 | |
| (786) 610-9463 | |
| Not Available |
| Full Name | Behaviorist Edge, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3584 Gatlin Place Cir, Orlando, Florida |
| Authorized Official Name and Position | Yvette Llano (OWNER/BCBA) |
| Authorized Official Contact | 7866109463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behaviorist Edge, Llc 3584 Gatlin Place Cir Orlando FL 32812-7753 Ph: (786) 610-9463 | Behaviorist Edge, Llc 3584 Gatlin Place Cir Orlando FL 32812-7753 Ph: (786) 610-9463 |
| NPI Number | 1336961259 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336961259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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