| The Collaborative Behavior Group | |
|
10272 S Us Highway 1 Port Saint Lucie FL 34952-5615 | |
| (407) 947-4675 | |
| Not Available |
| Full Name | The Collaborative Behavior Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10272 S Us Highway 1, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Nicole M Vendette (OWNER) |
| Authorized Official Contact | 4079474675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Collaborative Behavior Group 3344 Ne Sandra Dr Jensen Beach FL 34957-3972 Ph: (407) 947-4675 | The Collaborative Behavior Group 10272 S Us Highway 1 Port Saint Lucie FL 34952-5615 Ph: (407) 947-4675 |
| NPI Number | 1093298564 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 11/04/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093298564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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