| Growing Minds Outside The Box | |
|
3052 Highway 17 Green Cove Springs FL 32043-9331 | |
| (850) 227-4392 | |
| Not Available |
| Full Name | Growing Minds Outside The Box |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3052 Highway 17, Green Cove Springs, Florida |
| Authorized Official Name and Position | Christine Fazio (DIRECTOR) |
| Authorized Official Contact | 8502274392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Minds Outside The Box 3052 Highway 17 Green Cove Springs FL 32043-9331 Ph: (850) 227-4392 | Growing Minds Outside The Box 3052 Highway 17 Green Cove Springs FL 32043-9331 Ph: (850) 227-4392 |
| NPI Number | 1245697234 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245697234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 01063112 (Florida) | Primary |
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