Healthcare Provider Details

I. General information

NPI: 1326682410
Provider Name (Legal Business Name): BEHAVIOR INTEGRATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 HADDINGTON CT
APOPKA FL
32712
US

IV. Provider business mailing address

3641 HADDINGTON CT. APOPKA, FL 32712
APOPKA FL
32712
US

V. Phone/Fax

Practice location:
  • Phone: 407-937-9016
  • Fax: 407-703-9561
Mailing address:
  • Phone: 407-937-9016
  • Fax: 407-703-9561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: VANESSA M BRACERO
Title or Position: OWNER
Credential: MS, BCBA
Phone: 407-937-9016