Systemic Behavioral Therapy Llc | |
2180 W First St Ste 100 Fort Myers FL 33901-3221 | |
(786) 697-6201 | |
Not Available |
Full Name | Systemic Behavioral Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2180 W First St Ste 100, Fort Myers, Florida |
Authorized Official Name and Position | Joely L Spencer (CEO, OWNER) |
Authorized Official Contact | 7866976201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Systemic Behavioral Therapy Llc 2180 W First St Ste 100 Fort Myers FL 33901-3221 Ph: (786) 697-6201 | Systemic Behavioral Therapy Llc 2180 W First St Ste 100 Fort Myers FL 33901-3221 Ph: (786) 697-6201 |
NPI Number | 1235702341 |
---|---|
Provider Enumeration Date | 07/19/2021 |
Last Update Date | 07/19/2021 |
Certification Date | 07/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235702341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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