| Florida Center For Behavior Analysis Inc. | |
|
405 S Summit St Ste F Crescent City FL 32112-3048 | |
| (800) 613-1497 | |
| (386) 698-0979 |
| Full Name | Florida Center For Behavior Analysis Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 405 S Summit St, Crescent City, Florida |
| Authorized Official Name and Position | Robert L Defranco (SECRETARY/BOD MEMBER) |
| Authorized Official Contact | 3862148199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Center For Behavior Analysis Inc. 405 S Summit St Ste F Crescent City FL 32112-3048 Ph: (800) 613-1497 | Florida Center For Behavior Analysis Inc. 405 S Summit St Ste F Crescent City FL 32112-3048 Ph: (800) 613-1497 |
| NPI Number | 1285910612 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285910612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-6870 (Florida) | Primary |
Sleep Medicine Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Eucalyptus Ave, Box 386, Crescent City, FL 32112 Phone: 386-325-9797 Fax: 386-325-9798 |