| Klc Social Connections, Llc | |
|
799 Se Celtic Ave Port St Lucie FL 34983-2711 | |
| (772) 323-1958 | |
| Not Available |
| Full Name | Klc Social Connections, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 799 Se Celtic Ave, Port St Lucie, Florida |
| Authorized Official Name and Position | Kristi Lee Corley (OWNER, BEHAVIOR ANALYST) |
| Authorized Official Contact | 7723231958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klc Social Connections, Llc 799 Se Celtic Ave Port St Lucie FL 34983-2711 Ph: (772) 323-1958 | Klc Social Connections, Llc 799 Se Celtic Ave Port St Lucie FL 34983-2711 Ph: (772) 323-1958 |
| NPI Number | 1366219826 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366219826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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