Healthcare Provider Details
I. General information
NPI: 1225362056
Provider Name (Legal Business Name): CAYER BEHAVIORAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2009
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2331 HANSEN CT
TALLAHASSEE FL
32301-4859
US
IV. Provider business mailing address
2331 HANSEN CT
TALLAHASSEE FL
32301-4859
US
V. Phone/Fax
- Phone: 850-320-6555
- Fax: 888-873-4610
- Phone: 850-320-6555
- Fax: 888-873-4610
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KRISTA
STINSON
CAYER
Title or Position: PRESIDENT
Credential: MA, BCBA
Phone: 850-320-6555