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NPI Code Detail

MEDICARE: BEHAVIORAL LEARNING SYSTEMS, INC.

MEDICARE: BEHAVIORAL LEARNING SYSTEMS, 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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251S00000XCommunity/Behavioral Health Agency
3252Y00000XEarly Intervention Provider Agency
4103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548403819
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL LEARNING SYSTEMS, INC.
Provider Business Mailing Address
First Line : 1408 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4020
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Provider Business Practice Location Address
First Line : 1408 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4020
Country : US
Telephone Number : 352-373-4411
Fax Number : 352-373-4455
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MRS. JANICE GABOURY PULCINI
Credential : M.A., BCBA
Telephone Number : 352-246-7012
Provider Enumeration Date : 04/15/2009
Last Update Date : 03/07/2022

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1437560653 — BEHAVIORAL LEARNING SYSTEMS, INC.
Practice Location Address:
1408 NW 6TH ST
GAINESVILLE, FL
32601-4020
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Practice Fax: 352-373-4455

Directions to “BEHAVIORAL LEARNING SYSTEMS, INC. ” Practice Location

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