| I'mpossible Behavior Services | |
|
5500 N Highway 1 Cocoa FL 32927-6006 | |
| (321) 506-7999 | |
| Not Available |
| Full Name | I'mpossible Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5500 N Highway 1, Cocoa, Florida |
| Authorized Official Name and Position | Melody M Autry (OWNER) |
| Authorized Official Contact | 3215067999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I'mpossible Behavior Services 3709 Warwick Dr Cocoa FL 32926-8739 Ph: (321) 506-7999 | I'mpossible Behavior Services 5500 N Highway 1 Cocoa FL 32927-6006 Ph: (321) 506-7999 |
| NPI Number | 1073129839 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Certification Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073129839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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