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NPI Code Detail

MEDICARE: SIDE BY SIDE BEHAVIORAL HEALTH LLC

MEDICARE: SIDE BY SIDE BEHAVIORAL HEALTH 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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4103K00000XBehavior Analyst

General Provider Information

NPI Number : 1427528041
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIDE BY SIDE BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 4094 FLORALWOOD CT
Second Line :
City : ORLANDO
State : FL
Zip : 32812-7913
Country : US
Telephone Number : 786-797-3207
Fax Number :
Provider Business Practice Location Address
First Line : 2151 CONSULATE DR STE 11
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8806
Country : US
Telephone Number : 786-797-3207
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : PAULA NUNEZ GALETTO
Credential : BCBA
Telephone Number : 312-444-9527
Provider Enumeration Date : 11/26/2018
Last Update Date : 11/29/2022

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Directions to “SIDE BY SIDE BEHAVIORAL HEALTH LLC ” Practice Location

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