|
| |
|
1420 Celebration Blvd Ste 200 Celebration FL 34747-5162 | |
| (407) 922-4012 | |
| (407) 530-0173 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1420 Celebration Blvd Ste 200, Celebration, Florida |
| Authorized Official Name and Position | Priscilla Santos (OWNER) |
| Authorized Official Contact | 3059513645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1420 Celebration Blvd Ste 200 Celebration FL 34747-5162 Ph: (407) 922-4012 | 1420 Celebration Blvd Ste 200 Celebration FL 34747-5162 Ph: (407) 922-4012 |
| NPI Number | 1568054666 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568054666 | NPI | - | NPPES |
| 109519500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Aurora Therapy Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1356 Ponce Dr, Celebration, FL 34747 Phone: 646-421-3566 Fax: 718-679-9285 | |
Barefoot Perspectives Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Celebration Blvd Ste 200, Celebration, FL 34747 Phone: 720-227-8979 Fax: 720-230-5457 | |
Wisdom For Living,.inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Celebration Blvd, Suite 200, Celebration, FL 34747 Phone: 863-421-7069 Fax: 863-422-3275 | |
Jessica K Marks Positive Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Indigo Dr, Celebration, FL 34747 Phone: 954-612-2133 |