Shoreline Center For Exceptional Students, Llc | |
528 Cecil G Costin Sr Blvd Ste A Port St Joe FL 32456-1754 | |
(850) 227-1163 | |
Not Available |
Full Name | Shoreline Center For Exceptional Students, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 528 Cecil G Costin Sr Blvd Ste A, Port St Joe, Florida |
Authorized Official Name and Position | Tracie Ann Cumbie (BEHAVIOR ANALYST) |
Authorized Official Contact | 8502275759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shoreline Center For Exceptional Students, Llc 528 Cecil G Costin Sr Blvd Ste A Port St Joe FL 32456-1754 Ph: (850) 227-5759 | Shoreline Center For Exceptional Students, Llc 528 Cecil G Costin Sr Blvd Ste A Port St Joe FL 32456-1754 Ph: (850) 227-1163 |
NPI Number | 1891303244 |
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Provider Enumeration Date | 07/21/2020 |
Last Update Date | 07/21/2020 |
Certification Date | 07/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891303244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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Life Management Center Of Northwest Florida Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Williams Ave, Port St Joe, FL 32456 Phone: 850-522-4480 Fax: 850-914-6281 |