| Empowering Minds Behavioral Services Llc | |
|
6230 Lapis Ln Crestview FL 32539-5425 | |
| (850) 400-6098 | |
| (866) 265-8817 |
| Full Name | Empowering Minds Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6230 Lapis Ln, Crestview, Florida |
| Authorized Official Name and Position | Natasha Perry (BCBA) |
| Authorized Official Contact | 8503333103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Minds Behavioral Services Llc 6230 Lapis Ln Crestview FL 32539-5425 Ph: (850) 333-3103 | Empowering Minds Behavioral Services Llc 6230 Lapis Ln Crestview FL 32539-5425 Ph: (850) 400-6098 |
| NPI Number | 1255039830 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 03/18/2023 |
| Certification Date | 03/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255039830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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