| Lakeland Behavior Services, Llc | |
|
3745 Hill St Lakeland FL 33812-4338 | |
| (786) 602-0904 | |
| Not Available |
| Full Name | Lakeland Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3745 Hill St, Lakeland, Florida |
| Authorized Official Name and Position | Luis A Yance (ADMIN) |
| Authorized Official Contact | 7866020904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Behavior Services, Llc 3745 Hill St Lakeland FL 33812-4338 Ph: (786) 602-0904 | Lakeland Behavior Services, Llc 3745 Hill St Lakeland FL 33812-4338 Ph: (786) 602-0904 |
| NPI Number | 1598497885 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598497885 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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