| Gulf Coast Behavioral Health Llc | |
|
4075 Lagoon Ter North Port FL 34286-7646 | |
| (941) 416-4338 | |
| Not Available |
| Full Name | Gulf Coast Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4075 Lagoon Ter, North Port, Florida |
| Authorized Official Name and Position | Stacey Santagata (MANAGER) |
| Authorized Official Contact | 9414164338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Behavioral Health Llc 4075 Lagoon Ter North Port FL 34286-7646 Ph: (941) 416-4338 | Gulf Coast Behavioral Health Llc 4075 Lagoon Ter North Port FL 34286-7646 Ph: (941) 416-4338 |
| NPI Number | 1912767336 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912767336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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