|
| |
|
1645 Palm Beach Lakes Blvd Ste 1200 West Palm Beach FL 33401-2214 | |
| (561) 301-5305 | |
| (561) 423-0972 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1645 Palm Beach Lakes Blvd Ste 1200, West Palm Beach, Florida |
| Authorized Official Name and Position | Teresa D Vigil (PRESIDENT) |
| Authorized Official Contact | 3056328577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1645 Palm Beach Lakes Blvd Ste 1200 West Palm Beach FL 33401-2214 Ph: (561) 301-5305 | 1645 Palm Beach Lakes Blvd Ste 1200 West Palm Beach FL 33401-2214 Ph: (561) 301-5305 |
| NPI Number | 1700403698 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700403698 | NPI | - | NPPES |
| 109510901 | Medicaid | FL | |
| 109510900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Rehab South Florida Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4460 Medical Center Way, West Palm Beach, FL 33407 Phone: 863-532-3151 | |
Sunshine Of Tomorrow Behavioral Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7711 N Military Trl Ste 204, West Palm Beach, FL 33410 Phone: 561-914-4104 | |
Diosark, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1546 42nd St, West Palm Beach, FL 33407 Phone: 561-840-1647 Fax: 561-840-6415 | |
Crossroads Counseling Center Of The Palm Beaches Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Forest Hill Blvd, Suite 105, West Palm Beach, FL 33406 Phone: 561-722-7084 Fax: 561-697-9925 | |
Wellbeing Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7750 Okeechobee Blvd # 4-76, West Palm Beach, FL 33411 Phone: 772-678-0341 | |
Be Free Stay Free Family & Individual Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Whitehall Dr Apt 206, West Palm Beach, FL 33401 Phone: 561-377-2373 |