| Intensive Behavior Supports | |
|
90 Citrus Ct Palm Harbor FL 34683-3702 | |
| (727) 744-9829 | |
| Not Available |
| Full Name | Intensive Behavior Supports |
|---|---|
| Speciality | Behavior Analyst |
| Location | 90 Citrus Ct, Palm Harbor, Florida |
| Authorized Official Name and Position | Tamara Nenni (OWNER) |
| Authorized Official Contact | 7277449829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Behavior Supports 90 Citrus Ct Palm Harbor FL 34683-3702 Ph: (727) 744-9829 | Intensive Behavior Supports 90 Citrus Ct Palm Harbor FL 34683-3702 Ph: (727) 744-9829 |
| NPI Number | 1073960993 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073960993 | NPI | - | NPPES |
| 011132200 | Other | FL | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1000169 (Florida) | Primary |
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