| Child Behavior Center, Inc. | |
|
897 Towne Center Dr Ste 101 Kissimmee FL 34759-3473 | |
| (321) 303-4819 | |
| (866) 532-6911 |
| Full Name | Child Behavior Center, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 897 Towne Center Dr Ste 101, Kissimmee, Florida |
| Authorized Official Name and Position | Lourdes Rivera-gonzalez (PRESIDENT) |
| Authorized Official Contact | 3213034819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Behavior Center, Inc. 3051 Menorca Ct Kissimmee FL 34744-4124 Ph: (321) 303-4819 | Child Behavior Center, Inc. 897 Towne Center Dr Ste 101 Kissimmee FL 34759-3473 Ph: (321) 303-4819 |
| NPI Number | 1497347272 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497347272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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