| Space Coast Behavior Analysis Llc | |
|
2226 Sarno Rd Ste 100 Melbourne FL 32935-3087 | |
| (321) 313-4804 | |
| Not Available |
| Full Name | Space Coast Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2226 Sarno Rd Ste 100, Melbourne, Florida |
| Authorized Official Name and Position | Tina Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3213134804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Behavior Analysis Llc 915 Lytton Rd Melbourne FL 32934-9015 Ph: (321) 313-4804 | Space Coast Behavior Analysis Llc 2226 Sarno Rd Ste 100 Melbourne FL 32935-3087 Ph: (321) 313-4804 |
| NPI Number | 1750007886 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750007886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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