Healthcare Provider Details

I. General information

NPI: 1013470483
Provider Name (Legal Business Name): SANGER AND ASSOCIATES - BEHAVIORAL AND PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 AVENUE B SE
WINTER HAVEN FL
33880-3037
US

IV. Provider business mailing address

150 AVENUE B SE
WINTER HAVEN FL
33880-3037
US

V. Phone/Fax

Practice location:
  • Phone: 863-944-0841
  • Fax: 863-583-0480
Mailing address:
  • Phone: 863-944-0841
  • Fax: 863-583-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KEVIN SANGER
Title or Position: MANAGER/OWNER
Credential: ED.S, LSP, BCBA
Phone: 863-944-0841