Healthcare Provider Details

I. General information

NPI: 1689292963
Provider Name (Legal Business Name): THRIVE BEHAVIORAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15048 14TH ST
DADE CITY FL
33523-2503
US

IV. Provider business mailing address

15048 14TH ST
DADE CITY FL
33523-2503
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-8997
  • Fax: 833-422-0029
Mailing address:
  • Phone: 352-232-8997
  • Fax: 833-422-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KAELYN MEINERT
Title or Position: BCBA
Credential: M.A., BCBA
Phone: 724-766-9405