NPI Code Details Logo

NPI 1801367693

NPI 1801367693 : EDNA BEHAVIORAL HEALTH INC : ORLANDO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801367693
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EDNA BEHAVIORAL HEALTH INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/05/2018
-----------------------------------------------------
    Last Update Date     |    01/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    513 W COLONIAL DR 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32804-6866
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    321-231-4230
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    94 SAN BLAS AVE 
-----------------------------------------------------
    City                 |    KISSIMMEE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34743-6626
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    321-231-4230
-----------------------------------------------------
    Fax                  |    407-744-0167
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MS. SYLVIA  MULTARI 
-----------------------------------------------------
    Credential           |    LMHC,BCBA
-----------------------------------------------------
    Telephone            |    321-231-4230
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.