| Osceola County Center For Behavior, Llc | |
|
2951 Park Pond Way Kissimmee FL 34741-7661 | |
| (321) 355-3904 | |
| (407) 255-6429 |
| Full Name | Osceola County Center For Behavior, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2951 Park Pond Way, Kissimmee, Florida |
| Authorized Official Name and Position | Michael Robert Siravo (OWNER) |
| Authorized Official Contact | 3213553904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola County Center For Behavior, Llc 2951 Park Pond Way Kissimmee FL 34741-7661 Ph: (321) 355-3904 | Osceola County Center For Behavior, Llc 2951 Park Pond Way Kissimmee FL 34741-7661 Ph: (321) 355-3904 |
| NPI Number | 1164960027 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164960027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
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