Bright Horizons Behavior, Llc | |
5701 Bahia Del Mar Cir 508 St Petersburg FL 33715-2394 | |
(727) 278-1171 | |
Not Available |
Full Name | Bright Horizons Behavior, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5701 Bahia Del Mar Cir, St Petersburg, Florida |
Authorized Official Name and Position | Spiro Kotsios (BCBA/PRESIDENT) |
Authorized Official Contact | 7272781171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Horizons Behavior, Llc Bahia Del Mar Circle 508 Saint Petersburg FL 33715 Ph: (727) 278-1171 | Bright Horizons Behavior, Llc 5701 Bahia Del Mar Cir 508 St Petersburg FL 33715-2394 Ph: (727) 278-1171 |
NPI Number | 1124439344 |
---|---|
Provider Enumeration Date | 05/09/2014 |
Last Update Date | 06/24/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124439344 | NPI | - | NPPES |
010671700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1-15-18495 (Florida) | Primary |
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