Healthcare Provider Details

I. General information

NPI: 1457031270
Provider Name (Legal Business Name): E-ADEPT GLOBAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 CAPEN ST
ORMOND BEACH FL
32174-6003
US

IV. Provider business mailing address

231 CAPEN ST
ORMOND BEACH FL
32174-6003
US

V. Phone/Fax

Practice location:
  • Phone: 386-453-9225
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA WHEELER
Title or Position: PRESIDENT
Credential: BCBA, RBT
Phone: 386-453-9225