Bhavioral Corporation | |
12557 New Brittany Blvd Ste 3v-26 Fort Myers FL 33907-3651 | |
(786) 355-4371 | |
Not Available |
Full Name | Bhavioral Corporation |
---|---|
Speciality | Behavior Analyst |
Location | 12557 New Brittany Blvd Ste 3v-26, Fort Myers, Florida |
Authorized Official Name and Position | Jesus L Lage Comas (PRESIDENT) |
Authorized Official Contact | 7863932415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bhavioral Corporation 12557 New Brittany Blvd #3 Suite 3v-26 Fort Myers FL 33907-3651 Ph: (786) 393-2415 | Bhavioral Corporation 12557 New Brittany Blvd Ste 3v-26 Fort Myers FL 33907-3651 Ph: (786) 355-4371 |
NPI Number | 1326773938 |
---|---|
Provider Enumeration Date | 07/18/2022 |
Last Update Date | 07/19/2022 |
Certification Date | 07/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326773938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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