Shining Stars Applied Behavior Analysis Corp. | |
1844 Penman Rd Jacksonville Beach FL 32250-3734 | |
(904) 755-0646 | |
(904) 372-7620 |
Full Name | Shining Stars Applied Behavior Analysis Corp. |
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Speciality | Community/behavioral Health |
Location | 1844 Penman Rd, Jacksonville Beach, Florida |
Authorized Official Name and Position | Kristina French (OWNER/PRESIDENT) |
Authorized Official Contact | 9047550646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shining Stars Applied Behavior Analysis Corp. 1844 Penman Rd Jacksonville Beach FL 32250-3734 Ph: (904) 755-0646 | Shining Stars Applied Behavior Analysis Corp. 1844 Penman Rd Jacksonville Beach FL 32250-3734 Ph: (904) 755-0646 |
NPI Number | 1346787728 |
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Provider Enumeration Date | 01/24/2017 |
Last Update Date | 01/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346787728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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