Healthcare Provider Details

I. General information

NPI: 1497022875
Provider Name (Legal Business Name): BEHAVIORAL HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9274 PENELOPE DRIVE
WEEKI WACHEE FL
34613-4007
US

IV. Provider business mailing address

9274 PENELOPE DRIVE
WEEKI WACHEE FL
34613-4007
US

V. Phone/Fax

Practice location:
  • Phone: 352-597-5497
  • Fax: 352-597-1662
Mailing address:
  • Phone: 352-597-5497
  • Fax: 352-597-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateFL

VIII. Authorized Official

Name: ANA ALMODOVAR
Title or Position: OFFICE MANAGER
Credential:
Phone: 352-364-2310