MEDICARE: BEHAVIORS WITH PURPOSE, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558099259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORS WITH PURPOSE, LLC

Provider Business Mailing Address
First Line	:	113 ZENITH CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7522
Country	:	US
Telephone Number	:	239-362-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 ZENITH CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7522
Country	:	US
Telephone Number	:	239-362-4785
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CHRISTINE CLAIMON PIERRE
Credential	:	BCBA
Telephone Number	:	239-362-4785

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	11/03/2023

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