| Jt Behavioral Milestones Llc | |
|
100 Myrtle St Apt 336 Longwood FL 32750-5431 | |
| (863) 307-1290 | |
| Not Available |
| Full Name | Jt Behavioral Milestones Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Myrtle St Apt 336, Longwood, Florida |
| Authorized Official Name and Position | Jillisa Tarver (OWNER) |
| Authorized Official Contact | 8633071290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jt Behavioral Milestones Llc 100 Myrtle St Apt 336208 Longwood FL 32750-5398 Ph: (863) 307-1290 | Jt Behavioral Milestones Llc 100 Myrtle St Apt 336 Longwood FL 32750-5431 Ph: (863) 307-1290 |
| NPI Number | 1851040273 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851040273 | NPI | - | NPPES |
| 106312600 | Medicaid | FL |
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