| Choice Behavior Services, Llc | |
|
3300 Nw 30th Ave Gainesville FL 32605-2716 | |
| (352) 213-3261 | |
| Not Available |
| Full Name | Choice Behavior Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3300 Nw 30th Ave, Gainesville, Florida |
| Authorized Official Name and Position | Donna Foster (OWNER) |
| Authorized Official Contact | 3522133261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Behavior Services, Llc 3300 Nw 30th Ave Gainesville FL 32605-2716 Ph: (352) 213-3261 | Choice Behavior Services, Llc 3300 Nw 30th Ave Gainesville FL 32605-2716 Ph: (352) 213-3261 |
| NPI Number | 1508214909 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508214909 | NPI | - | NPPES |
| 689281796 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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