| Behavioral Progression, Inc | |
|
1284 Devin Oaks Ct Lakeland FL 33811-2383 | |
| (863) 602-0698 | |
| (813) 354-2715 |
| Full Name | Behavioral Progression, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1284 Devin Oaks Ct, Lakeland, Florida |
| Authorized Official Name and Position | Nicole Minard (OWNER) |
| Authorized Official Contact | 8636020698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Progression, Inc 1284 Devin Oaks Ct Lakeland FL 33811-2383 Ph: (863) 602-0698 | Behavioral Progression, Inc 1284 Devin Oaks Ct Lakeland FL 33811-2383 Ph: (863) 602-0698 |
| NPI Number | 1508267980 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508267980 | NPI | - | NPPES |
| 014690000 | Medicaid | FL | |
| 018166500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 1-14-15928 (Florida) | Secondary |
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