Children's Choice Behavioral Services | |
5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 | |
(863) 934-2368 | |
Not Available |
Full Name | Children's Choice Behavioral Services |
---|---|
Speciality | Behavior Analyst |
Location | 5619 Autumn Ridge Rd Apt 208, Lakeland, Florida |
Authorized Official Name and Position | Katherine Ann Freeman (OWNER) |
Authorized Official Contact | 8639342368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Choice Behavioral Services 5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 Ph: (863) 934-2368 | Children's Choice Behavioral Services 5619 Autumn Ridge Rd Apt 208 Lakeland FL 33805-2794 Ph: (863) 934-2368 |
NPI Number | 1124803416 |
---|---|
Provider Enumeration Date | 08/28/2023 |
Last Update Date | 11/27/2023 |
Certification Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124803416 | NPI | - | NPPES |
019767100 | Medicaid | FL | |
14539706 | Other | FL | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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