| Latitude Behavioral Health, Llc | |
|
5818 Broad River Run Ellenton FL 34222-7266 | |
| (386) 237-4751 | |
| Not Available |
| Full Name | Latitude Behavioral Health, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5818 Broad River Run, Ellenton, Florida |
| Authorized Official Name and Position | Alexandrea Natalya Figueroa (CO-OWNER) |
| Authorized Official Contact | 3862374751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latitude Behavioral Health, Llc 5818 Broad River Run Ellenton FL 34222-7266 Ph: () - | Latitude Behavioral Health, Llc 5818 Broad River Run Ellenton FL 34222-7266 Ph: (386) 237-4751 |
| NPI Number | 1376321638 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376321638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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