| Fst Behavioral | |
|
1200 N Central Ave Ste 110 Kissimmee FL 34741-4439 | |
| (407) 530-5063 | |
| (877) 399-5578 |
| Full Name | Fst Behavioral |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1200 N Central Ave Ste 110, Kissimmee, Florida |
| Authorized Official Name and Position | Federico Nicolas (COO) |
| Authorized Official Contact | 4075305063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fst Behavioral 1650 Sand Lake Rd Ste 230 Orlando FL 32809-9138 Ph: (407) 530-5063 | Fst Behavioral 1200 N Central Ave Ste 110 Kissimmee FL 34741-4439 Ph: (407) 530-5063 |
| NPI Number | 1437978541 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437978541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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