| Prosocial Behavioral Health Incorporated | |
|
1216 Summit Oaks Dr W Jacksonville FL 32221-3236 | |
| (904) 673-0684 | |
| Not Available |
| Full Name | Prosocial Behavioral Health Incorporated |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1216 Summit Oaks Dr W, Jacksonville, Florida |
| Authorized Official Name and Position | Andrew Sherwin George (PRESIDENT & CEO) |
| Authorized Official Contact | 9046730684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosocial Behavioral Health Incorporated 1216 Summit Oaks Dr W Jacksonville FL 32221-3236 Ph: (904) 673-0684 | Prosocial Behavioral Health Incorporated 1216 Summit Oaks Dr W Jacksonville FL 32221-3236 Ph: (904) 673-0684 |
| NPI Number | 1174214365 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174214365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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