| Orange Blossom Behavior Llc | |
|
1492 Regal Ct Kissimmee FL 34744-6638 | |
| (614) 560-9236 | |
| Not Available |
| Full Name | Orange Blossom Behavior Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1492 Regal Ct, Kissimmee, Florida |
| Authorized Official Name and Position | John William Ferguson (BCBA/OWNER) |
| Authorized Official Contact | 6145609236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Blossom Behavior Llc 1492 Regal Ct Kissimmee FL 34744-6638 Ph: (614) 560-9236 | Orange Blossom Behavior Llc 1492 Regal Ct Kissimmee FL 34744-6638 Ph: (614) 560-9236 |
| NPI Number | 1336902162 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336902162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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