| Thrive Therapeutic Services | |
|
5768 Falling Tree Ln Port Orange FL 32127-7994 | |
| (319) 594-5509 | |
| Not Available |
| Full Name | Thrive Therapeutic Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5768 Falling Tree Ln, Port Orange, Florida |
| Authorized Official Name and Position | Ashley Lee (OWNER) |
| Authorized Official Contact | 3195945509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Therapeutic Services 201 Commonwealth Blvd., Ste. F Po Box 238098 Port Orange FL 32127 Ph: (319) 594-5509 | Thrive Therapeutic Services 5768 Falling Tree Ln Port Orange FL 32127-7994 Ph: (319) 594-5509 |
| NPI Number | 1487434114 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 09/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487434114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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