Alpha Industries Llc | |
2115 Se Holland Street Port St. Lucie FL 34952 | |
(915) 219-1467 | |
Not Available |
Full Name | Alpha Industries Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2115 Se Holland Street, Port St. Lucie, Florida |
Authorized Official Name and Position | Timotheus Tyrun Jenkins (CEO) |
Authorized Official Contact | 9153523093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alpha Industries Llc 2115 Se Holland Street Port St. Lucie FL 34952 Ph: (915) 219-2467 | Alpha Industries Llc 2115 Se Holland Street Port St. Lucie FL 34952 Ph: (915) 219-1467 |
NPI Number | 1699536177 |
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Provider Enumeration Date | 01/22/2024 |
Last Update Date | 01/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699536177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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The Gift Of Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 Phone: 954-805-0177 Fax: 888-293-5884 | |
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