| Emerald Coast Behavior Inc | |
|
5747 E Bay Blvd Gulf Breeze FL 32563-9665 | |
| (850) 307-8811 | |
| Not Available |
| Full Name | Emerald Coast Behavior Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5747 E Bay Blvd, Gulf Breeze, Florida |
| Authorized Official Name and Position | Candice Lee Wolff (OWNER) |
| Authorized Official Contact | 8503078811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Behavior Inc 5747 E Bay Blvd Gulf Breeze FL 32563-9665 Ph: (850) 307-8811 | Emerald Coast Behavior Inc 5747 E Bay Blvd Gulf Breeze FL 32563-9665 Ph: (850) 307-8811 |
| NPI Number | 1033778659 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 05/19/2022 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033778659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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