| Creating Balance Inc | |
|
1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 | |
| (954) 842-1641 | |
| Not Available |
| Full Name | Creating Balance Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1800 Pembrook Dr Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Stephanie Mulligan (OWNER) |
| Authorized Official Contact | 9548421641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Balance Inc 677 Errol Parkway Apopka FL 32712 Ph: (954) 842-1641 | Creating Balance Inc 1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 Ph: (954) 842-1641 |
| NPI Number | 1922672351 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922672351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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