| Kaleidoscope Behavior Services | |
|
4908 Randee Cir Pensacola FL 32526-2054 | |
| (985) 413-8127 | |
| Not Available |
| Full Name | Kaleidoscope Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4908 Randee Cir, Pensacola, Florida |
| Authorized Official Name and Position | Kelly Lynn White (OWNER) |
| Authorized Official Contact | 9854138127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Behavior Services 4908 Randee Cir Pensacola FL 32526-2054 Ph: (985) 413-8127 | Kaleidoscope Behavior Services 4908 Randee Cir Pensacola FL 32526-2054 Ph: (985) 413-8127 |
| NPI Number | 1790456937 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790456937 | NPI | - | NPPES |
| 1821542473 | Other | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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