| Goalline Behavior Services, Llc | |
|
3230 Callie Ln Green Cove Springs FL 32043-9591 | |
| (904) 945-6205 | |
| Not Available |
| Full Name | Goalline Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3230 Callie Ln, Green Cove Springs, Florida |
| Authorized Official Name and Position | Amber Madison Webb (OWNER) |
| Authorized Official Contact | 9049456205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goalline Behavior Services, Llc 3230 Callie Ln Green Cove Springs FL 32043-9591 Ph: () - | Goalline Behavior Services, Llc 3230 Callie Ln Green Cove Springs FL 32043-9591 Ph: (904) 945-6205 |
| NPI Number | 1679302350 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679302350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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