| Island Cove Behavioral Pediatrics Llc | |
|
2267 Trailwood Dr Fleming Island FL 32003-4926 | |
| (904) 514-4102 | |
| Not Available |
| Full Name | Island Cove Behavioral Pediatrics Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2267 Trailwood Dr, Fleming Island, Florida |
| Authorized Official Name and Position | Rachael Mohler (CEO) |
| Authorized Official Contact | 9045144102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Cove Behavioral Pediatrics Llc 2267 Trailwood Dr Fleming Island FL 32003-4926 Ph: (904) 514-4102 | Island Cove Behavioral Pediatrics Llc 2267 Trailwood Dr Fleming Island FL 32003-4926 Ph: (904) 514-4102 |
| NPI Number | 1184356966 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184356966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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