| Pediatric Behavioral Services | |
|
4160 Oceanside St North Port FL 34286-2014 | |
| (863) 529-2183 | |
| Not Available |
| Full Name | Pediatric Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4160 Oceanside St, North Port, Florida |
| Authorized Official Name and Position | Stacy Landry (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8635292183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Behavioral Services 4160 Oceanside St North Port FL 34286-2014 Ph: (863) 529-2183 | Pediatric Behavioral Services 4160 Oceanside St North Port FL 34286-2014 Ph: (863) 529-2183 |
| NPI Number | 1144786773 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144786773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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