| Children's Choice Behavioral Services | |
|
5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 | |
| (863) 934-2368 | |
| Not Available |
| Full Name | Children's Choice Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5619 Autumn Ridge Rd Apt 208, Lakeland, Florida |
| Authorized Official Name and Position | Katherine Ann Freeman (OWNER) |
| Authorized Official Contact | 8639342368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Choice Behavioral Services 5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 Ph: (863) 934-2368 | Children's Choice Behavioral Services 5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 Ph: (863) 934-2368 |
| NPI Number | 1124803416 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124803416 | NPI | - | NPPES |
| 019767100 | Medicaid | FL | |
| 14539706 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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