| Behavior Analysis Consultants Of Mid Florida Llc | |
|
248 N Kentucky Ave Lakeland FL 33801-4976 | |
| (863) 614-0048 | |
| (863) 614-0077 |
| Full Name | Behavior Analysis Consultants Of Mid Florida Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 248 N Kentucky Ave, Lakeland, Florida |
| Authorized Official Name and Position | Ashley C Miller (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 8636140048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis Consultants Of Mid Florida Llc 304 E Pine St # 19 Lakeland FL 33801-4969 Ph: (863) 614-0048 | Behavior Analysis Consultants Of Mid Florida Llc 248 N Kentucky Ave Lakeland FL 33801-4976 Ph: (863) 614-0048 |
| NPI Number | 1225374101 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225374101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3380 (Florida) | Primary |
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