Liberty Applied Behavior Analysis | |
4205 Whitetail Cir Niceville FL 32578-7112 | |
(254) 702-3234 | |
Not Available |
Full Name | Liberty Applied Behavior Analysis |
---|---|
Speciality | Behavior Analyst |
Location | 4205 Whitetail Cir, Niceville, Florida |
Authorized Official Name and Position | Melissa Bean (OWNER) |
Authorized Official Contact | 2547023234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Liberty Applied Behavior Analysis 4205 Whitetail Cir Niceville FL 32578-7112 Ph: (254) 702-3234 | Liberty Applied Behavior Analysis 4205 Whitetail Cir Niceville FL 32578-7112 Ph: (254) 702-3234 |
NPI Number | 1538854393 |
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Provider Enumeration Date | 04/07/2023 |
Last Update Date | 04/07/2023 |
Certification Date | 04/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538854393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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