| Fenix Behavior Therapy Co. | |
|
6660 Estero Blvd Unit B404 Fort Myers Beach FL 33931-4567 | |
| (239) 628-6999 | |
| Not Available |
| Full Name | Fenix Behavior Therapy Co. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6660 Estero Blvd Unit B404, Fort Myers Beach, Florida |
| Authorized Official Name and Position | Sucel Tejeda (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2396286999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Behavior Therapy Co. 6660 Estero Blvd Unit B404 Fort Myers Beach FL 33931-4567 Ph: (239) 628-6999 | Fenix Behavior Therapy Co. 6660 Estero Blvd Unit B404 Fort Myers Beach FL 33931-4567 Ph: (239) 628-6999 |
| NPI Number | 1184112906 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184112906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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Sulan Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6660 Estero Blvd Apt B404, Fort Myers Beach, FL 33931 Phone: 239-628-6999 | |
Abaswf Of Texas Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6660 Estero Blvd, Unit B404, Fort Myers Beach, FL 33931 Phone: 239-628-6999 |