| Galaxy Behavior Therapy Inc | |
|
1013 Joel Blvd Lehigh Acres FL 33936-3265 | |
| (786) 317-0375 | |
| (855) 523-1291 |
| Full Name | Galaxy Behavior Therapy Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1013 Joel Blvd, Lehigh Acres, Florida |
| Authorized Official Name and Position | Gissel Chang (OWNER) |
| Authorized Official Contact | 7863170375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galaxy Behavior Therapy Inc 1013 Joel Blvd Lehigh Acres FL 33936-3265 Ph: (786) 317-0375 | Galaxy Behavior Therapy Inc 1013 Joel Blvd Lehigh Acres FL 33936-3265 Ph: (786) 317-0375 |
| NPI Number | 1962949867 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962949867 | NPI | - | NPPES |
| 108848300 | Medicaid | FL | |
| 018657300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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