MEDICARE: ALL BEHAVIOR MATTERS LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1528417433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL BEHAVIOR MATTERS LLC

Provider Business Mailing Address
First Line	:	1845 ROYAL PALM DR
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-3817
Country	:	US
Telephone Number	:	440-221-6758
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 ROYAL PALM DR
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-3817
Country	:	US
Telephone Number	:	440-221-6758
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL A MILLS
Credential	:
Telephone Number	:	440-221-6758

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	06/10/2016

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