| Waves Behavioral Solutions, Llc | |
|
1260 W Bay Dr Ste B Largo FL 33770-2249 | |
| (727) 641-0218 | |
| Not Available |
| Full Name | Waves Behavioral Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1260 W Bay Dr Ste B, Largo, Florida |
| Authorized Official Name and Position | Kristina Ashlee Bewley (OWNER/BCBA) |
| Authorized Official Contact | 7273482532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Behavioral Solutions, Llc Po Box 7606 Clearwater FL 33758-7606 Ph: (727) 641-0218 | Waves Behavioral Solutions, Llc 1260 W Bay Dr Ste B Largo FL 33770-2249 Ph: (727) 641-0218 |
| NPI Number | 1598254179 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598254179 | NPI | - | NPPES |
| 101881900 | Medicaid | FL | |
| 019719700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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