| Child Behavior Center, Inc | |
|
897 Towne Center Dr Ste 101 Kissimmee FL 34759-3473 | |
| (407) 201-4936 | |
| Not Available |
| Full Name | Child Behavior Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 897 Towne Center Dr Ste 101, Kissimmee, Florida |
| Authorized Official Name and Position | Lourdes Rivera Gonzales (OWNER) |
| Authorized Official Contact | 4072014936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Behavior Center, Inc 897 Towne Center Dr Ste 101 Kissimmee FL 34759-3473 Ph: (407) 201-4936 | Child Behavior Center, Inc 897 Towne Center Dr Ste 101 Kissimmee FL 34759-3473 Ph: (407) 201-4936 |
| NPI Number | 1518657865 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518657865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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