| My Time 2 Launch | |
|
3832 Sw 33rd Ct West Park FL 33023-5631 | |
| (262) 707-3257 | |
| (954) 838-5358 |
| Full Name | My Time 2 Launch |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3832 Sw 33rd Ct, West Park, Florida |
| Authorized Official Name and Position | William A. Purcell (PRESIDENT, CEO, CHIEF OPERATIONS) |
| Authorized Official Contact | 2032479453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Time 2 Launch 3832 Sw 33rd Ct West Park FL 33023-5631 Ph: (262) 707-3257 | My Time 2 Launch 3832 Sw 33rd Ct West Park FL 33023-5631 Ph: (262) 707-3257 |
| NPI Number | 1134818362 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134818362 | NPI | - | NPPES |
| 003245829A | Medicaid | GA | |
| 103590400 | Medicaid | FL | |
| 023138100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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