| Sunshine State Behavior Analysis Llc | |
|
210 White Marsh Dr Ponte Vedra FL 32081-6096 | |
| (904) 553-1541 | |
| Not Available |
| Full Name | Sunshine State Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 210 White Marsh Dr, Ponte Vedra, Florida |
| Authorized Official Name and Position | Travis Heath Ross (BEHAVIOR ANALYST/OWNER) |
| Authorized Official Contact | 9045531541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine State Behavior Analysis Llc 210 White Marsh Dr Ponte Vedra FL 32081-6096 Ph: (904) 553-1541 | Sunshine State Behavior Analysis Llc 210 White Marsh Dr Ponte Vedra FL 32081-6096 Ph: (904) 553-1541 |
| NPI Number | 1689114308 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689114308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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