Healthcare Provider Details

I. General information

NPI: 1306763107
Provider Name (Legal Business Name): 1ST CLASS BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 TOWN CENTER BLVD STE 205
FLEMING ISLAND FL
32003-3359
US

IV. Provider business mailing address

1845 TOWN CENTER BLVD STE 205
FLEMING ISLAND FL
32003-3359
US

V. Phone/Fax

Practice location:
  • Phone: 305-934-9466
  • Fax:
Mailing address:
  • Phone: 305-934-9466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GERSEY PESTANO
Title or Position: PRESIDENT
Credential:
Phone: 305-934-9466