Diamond Child Behavioral Services, Llc | |
220 Kettering Ct Longwood FL 32779-4519 | |
(407) 866-5152 | |
(407) 866-5152 |
Full Name | Diamond Child Behavioral Services, Llc |
---|---|
Speciality | Behavior Technician |
Location | 220 Kettering Ct, Longwood, Florida |
Authorized Official Name and Position | Andrea Bradley (OWNER) |
Authorized Official Contact | 4078665152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diamond Child Behavioral Services, Llc 220 Kettering Ct Longwood FL 32779-4519 Ph: (407) 866-5152 | Diamond Child Behavioral Services, Llc 220 Kettering Ct Longwood FL 32779-4519 Ph: (407) 866-5152 |
NPI Number | 1669219374 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669219374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
385H00000X | Respite Care | (* (Not Available)) | Secondary |
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