| Mind2mind Remediation, Llc. | |
|
5862 Sandburg Dr North Fort Myers FL 33903-5835 | |
| (239) 940-2481 | |
| Not Available |
| Full Name | Mind2mind Remediation, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5862 Sandburg Dr, North Fort Myers, Florida |
| Authorized Official Name and Position | Colton Skyler Mccready Phelan (PRESIDENT) |
| Authorized Official Contact | 2399402481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind2mind Remediation, Llc. 5862 Sandburg Dr North Fort Myers FL 33903-5835 Ph: (239) 940-2481 | Mind2mind Remediation, Llc. 5862 Sandburg Dr North Fort Myers FL 33903-5835 Ph: (239) 940-2481 |
| NPI Number | 1265270839 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265270839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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