| Behavioral & Wellness Solution Llc | |
|
12995 S Cleveland Ave Fort Myers FL 33907-3890 | |
| (239) 288-6257 | |
| Not Available |
| Full Name | Behavioral & Wellness Solution Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12995 S Cleveland Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Damary Leon (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2392886257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral & Wellness Solution Llc 12995 S Cleveland Ave Ste 216 Fort Myers FL 33907-3807 Ph: (239) 288-6257 | Behavioral & Wellness Solution Llc 12995 S Cleveland Ave Fort Myers FL 33907-3890 Ph: (239) 288-6257 |
| NPI Number | 1184394637 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184394637 | NPI | - | NPPES |
| 1003172453 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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