MEDICARE: CARRINGTON EVALUATION AND BEHAVIROAL SVCS

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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	FL34246069001	OTHER	FL	AGENCY FOR PERSONS WITH DISABILITIES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659524700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARRINGTON EVALUATION AND BEHAVIROAL SVCS

Provider Business Mailing Address
First Line	:	2120 N HAMPTON CIR
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1846
Country	:	US
Telephone Number	:	407-929-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3752
Country	:	US
Telephone Number	:	407-929-7399
Fax Number	:

Authorized Official
Title or Position	:	SCHOOL PSYCHOLOGIST
Name	:	EVE G. CARRINGTON
Credential	:	EDS
Telephone Number	:	407-929-7399

Provider Enumeration Date	:	11/01/2008
Last Update Date	:	11/01/2008

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