MEDICARE: INSIGHT COMFORT THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1316534605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT COMFORT THERAPY LLC

Provider Business Mailing Address
First Line	:	1980 N ATLANTIC AVE STE 510
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-3273
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 N ATLANTIC AVE STE 510
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-3273
Country	:	US
Telephone Number	:	813-563-1322
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOELEIGH RATTRAY
Credential	:
Telephone Number	:	701-200-6359

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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