| Foundations In Behavior, Llc | |
|
255 Primera Blvd Suite 160b Lake Mary FL 32746-2158 | |
| (765) 776-6668 | |
| Not Available |
| Full Name | Foundations In Behavior, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 Primera Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Lorne Thomas Balmer (BEHAVIOR ANALYST/OWNER) |
| Authorized Official Contact | 7657766668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations In Behavior, Llc 255 Primera Blvd Suite 160b Lake Mary FL 32746-2158 Ph: (765) 776-6668 | Foundations In Behavior, Llc 255 Primera Blvd Suite 160b Lake Mary FL 32746-2158 Ph: (765) 776-6668 |
| NPI Number | 1982145306 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 04/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982145306 | NPI | - | NPPES |
| 018833200 | Medicaid | FL | |
| 018489600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0-16-7295 (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 1-09-5012 (* (Not Available)) | Primary |
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