Healthcare Provider Details

I. General information

NPI: 1902682271
Provider Name (Legal Business Name): OUT OF THE BOX METHODS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 09/04/2023
Certification Date: 09/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 YELLOW CREEK LOOP UNIT 105
CAPE CORAL FL
33909-6572
US

IV. Provider business mailing address

2840 YELLOW CREEK LOOP UNIT 105
CAPE CORAL FL
33909-6572
US

V. Phone/Fax

Practice location:
  • Phone: 305-815-1558
  • Fax:
Mailing address:
  • Phone: 305-815-1558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MISS NATHALIE PIE
Title or Position: CEO
Credential: BCBA
Phone: 305-815-1558