|
| |
|
1775 W State Road 434 Longwood FL 32750-5067 | |
| (407) 919-6845 | |
| (407) 965-4480 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1775 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Maegen Christine Pierce (FOUNDER CEO) |
| Authorized Official Contact | 4075744629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2301 Maitland Center Pkwy Ste 240 Maitland FL 32751-7415 Ph: () - | 1775 W State Road 434 Longwood FL 32750-5067 Ph: (407) 919-6845 |
| NPI Number | 1750058749 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750058749 | NPI | - | NPPES |
| 107474803 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Discovery Counseling Of Orlando, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Crown Oak Centre Dr, Longwood, FL 32750 Phone: 407-761-8383 Fax: 407-574-2763 | |
Smart Behavioral Solutions Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Raymond Ave, Longwood, FL 32750 Phone: 407-462-9900 Fax: 321-340-3538 | |
Individual Provider Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Palermo Vista Ct, Longwood, FL 32750 Phone: 317-697-8932 | |
Anthropos Fl Mental Health & Family Therapy Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Wekiva Springs Rd, Suite 104, Longwood, FL 32779 Phone: 407-222-4207 Fax: 386-860-0649 | |
Leigh S. Rosenberg, Psy.d. Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2973 W Sr 434 Ste 400, Longwood, FL 32779 Phone: 407-362-5930 Fax: 407-362-5930 |