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247 W Voorhis Avenue Deland FL 32720-5432 | |
| (386) 795-5695 | |
| (386) 777-3850 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 247 W Voorhis Avenue, Deland, Florida |
| Authorized Official Name and Position | Sarah Elizabeth Sieg (OWNER/LEAD BCBA) |
| Authorized Official Contact | 3868042557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
247 W Voorhis Avenue Deland FL 32720-5432 Ph: (386) 795-5695 | 247 W Voorhis Avenue Deland FL 32720-5432 Ph: (386) 795-5695 |
| NPI Number | 1891416137 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891416137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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