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NPI Code Detail

MEDICARE: SANGER AND ASSOCIATES - BEHAVIORAL AND PSYCHOLOGICAL SERVICES, LLC

MEDICARE: SANGER AND ASSOCIATES - BEHAVIORAL AND PSYCHOLOGICAL SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013470483
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANGER AND ASSOCIATES - BEHAVIORAL AND PSYCHOLOGICAL SERVICES, LLC
Provider Business Mailing Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-944-0841
Fax Number : 863-583-0480
Provider Business Practice Location Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-944-0841
Fax Number : 863-583-0480
Authorized Official
Title or Position : MANAGER/OWNER
Name : KEVIN SANGER
Credential : ED.S, LSP, BCBA
Telephone Number : 863-944-0841
Provider Enumeration Date : 04/11/2019
Last Update Date : 04/15/2026

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