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NPI Code Detail

MEDICARE: BEHAVIOR MODIFICATION SOLUTIONS ABA, LLC

MEDICARE: BEHAVIOR MODIFICATION SOLUTIONS ABA, 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
1103K00000XBehavior 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

General Provider Information

NPI Number : 1760923437
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR MODIFICATION SOLUTIONS ABA, LLC
Provider Business Mailing Address
First Line : 2912 SW 34TH AVE
Second Line :
City : OCALA
State : FL
Zip : 34474-3364
Country : US
Telephone Number : 956-454-8539
Fax Number :
Provider Business Practice Location Address
First Line : 2912 SW 34TH AVE
Second Line :
City : OCALA
State : FL
Zip : 34474-3364
Country : US
Telephone Number : 956-454-8539
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. PEARSON FOSS KLEIN
Credential : BCBA
Telephone Number : 956-454-8539
Provider Enumeration Date : 03/15/2017
Last Update Date : 12/19/2024

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1922810613 — BEHAVIOR MODIFICATION SOLUTIONS
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