| The Behavior Resource Llc | |
|
225 Whitland Way St Augustine FL 32086-5792 | |
| (774) 210-0665 | |
| Not Available |
| Full Name | The Behavior Resource Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 Whitland Way, St Augustine, Florida |
| Authorized Official Name and Position | Kayla M Cate (DIRECTOR) |
| Authorized Official Contact | 7742100665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Resource Llc 225 Whitland Way St Augustine FL 32086-5792 Ph: (774) 210-0665 | The Behavior Resource Llc 225 Whitland Way St Augustine FL 32086-5792 Ph: (774) 210-0665 |
| NPI Number | 1912606146 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912606146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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