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NPI Code Detail

MEDICARE: SOOTHING RESPONSE BEHAVIORAL HEALTH INC

MEDICARE: SOOTHING RESPONSE BEHAVIORAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1134918329
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOOTHING RESPONSE BEHAVIORAL HEALTH INC
Provider Business Mailing Address
First Line : 6940 TUSSILAGO WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3196
Country : US
Telephone Number : 407-864-4069
Fax Number :
Provider Business Practice Location Address
First Line : 6940 TUSSILAGO WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3196
Country : US
Telephone Number : 407-864-4069
Fax Number :
Authorized Official
Title or Position : BCBA
Name : MS. SOFIA C RENTE
Credential : BCBA
Telephone Number : 407-864-4069
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/05/2025

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Directions to “SOOTHING RESPONSE BEHAVIORAL HEALTH INC ” Practice Location

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