| Progressive Behavior Consulting Llc | |
|
6 Roseberry Cir Port Wentworth GA 31407-5612 | |
| (850) 567-5657 | |
| Not Available |
| Full Name | Progressive Behavior Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6 Roseberry Cir, Port Wentworth, Georgia |
| Authorized Official Name and Position | Brandon Clark (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8505675657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Behavior Consulting Llc 6 Roseberry Cir Port Wentworth GA 31407-5612 Ph: (850) 567-5657 | Progressive Behavior Consulting Llc 6 Roseberry Cir Port Wentworth GA 31407-5612 Ph: (850) 567-5657 |
| NPI Number | 1780063651 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780063651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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