Healthcare Provider Details

I. General information

NPI: 1740909050
Provider Name (Legal Business Name): CLIMB, BCBA SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HYDER ST NE
PALM BAY FL
32907-1328
US

IV. Provider business mailing address

401 HYDER ST NE
PALM BAY FL
32907-1328
US

V. Phone/Fax

Practice location:
  • Phone: 321-243-6751
  • Fax: 321-723-6751
Mailing address:
  • Phone: 321-243-6751
  • Fax: 321-723-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. STACI R DYCE
Title or Position: PRESIDENT
Credential: BCBA
Phone: 321-243-6751