Healthcare Provider Details

I. General information

NPI: 1528869534
Provider Name (Legal Business Name): BEHAVIOR APPLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N ORANGE AVE STE 800
ORLANDO FL
32801-2381
US

IV. Provider business mailing address

505 CHATHAM AVE APT 857
ORLANDO FL
32801-0033
US

V. Phone/Fax

Practice location:
  • Phone: 407-640-8807
  • Fax:
Mailing address:
  • Phone: 954-822-8035
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KHALIA DAVIS
Title or Position: OWNER
Credential: BCBA
Phone: 954-822-8035