| Practical Behavior Solutions, Llc | |
|
11808 N Ohio St Dunnellon FL 34431-6724 | |
| (352) 462-7021 | |
| (844) 921-1442 |
| Full Name | Practical Behavior Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11808 N Ohio St, Dunnellon, Florida |
| Authorized Official Name and Position | Adrienne Renee Ellers (CEO) |
| Authorized Official Contact | 3524627021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Behavior Solutions, Llc 10424 Se 174th Pl Summerfield FL 34491-6963 Ph: (352) 342-5006 | Practical Behavior Solutions, Llc 11808 N Ohio St Dunnellon FL 34431-6724 Ph: (352) 462-7021 |
| NPI Number | 1043899396 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043899396 | NPI | - | NPPES |
| 108464700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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