| Soaring Behavior | |
|
3637 Glen Village Ct Orlando FL 32822-5757 | |
| (386) 569-1628 | |
| Not Available |
| Full Name | Soaring Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3637 Glen Village Ct, Orlando, Florida |
| Authorized Official Name and Position | Taylor-marie Miceli (CEO/FOUNDER) |
| Authorized Official Contact | 3865691628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring Behavior 3637 Glen Village Ct Orlando FL 32822-5757 Ph: (386) 569-1628 | Soaring Behavior 3637 Glen Village Ct Orlando FL 32822-5757 Ph: (386) 569-1628 |
| NPI Number | 1194328583 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194328583 | NPI | - | NPPES |
| 019897700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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