| O'connell Behavioral Services | |
|
5340 Useppa Dr Ave Maria FL 34142-5076 | |
| (239) 316-7656 | |
| Not Available |
| Full Name | O'connell Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5340 Useppa Dr, Ave Maria, Florida |
| Authorized Official Name and Position | Carolyn O'connell (OWNER) |
| Authorized Official Contact | 2393167656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'connell Behavioral Services 5340 Useppa Dr Ave Maria FL 34142-5076 Ph: (239) 316-7656 | O'connell Behavioral Services 5340 Useppa Dr Ave Maria FL 34142-5076 Ph: (239) 316-7656 |
| NPI Number | 1033883921 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033883921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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