| Deborah L. Mccoy Behavior Analyst Inc. | |
|
2860 W Main St Leesburg FL 34748-4631 | |
| (813) 957-8327 | |
| (866) 471-0650 |
| Full Name | Deborah L. Mccoy Behavior Analyst Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2860 W Main St, Leesburg, Florida |
| Authorized Official Name and Position | Deborah L Mccoy (PRESIDENT/CEO) |
| Authorized Official Contact | 8139578327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L. Mccoy Behavior Analyst Inc. 2860 W Main St Leesburg FL 34748-4631 Ph: (813) 957-8327 | Deborah L. Mccoy Behavior Analyst Inc. 2860 W Main St Leesburg FL 34748-4631 Ph: (813) 957-8327 |
| NPI Number | 1952628059 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952628059 | NPI | - | NPPES |
| 01851200 | Medicaid | FL | |
| 676938196 | Other | FL | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-01-0560 (Florida) | Primary |
| 103K00000X | Behavior Analyst | 0-08-2523 (Florida) | Secondary |
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