DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BEHAVIOR ANALYSIS SUPPORT SERVICES, INC.

MEDICARE: BEHAVIOR ANALYSIS SUPPORT SERVICES, INC.
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
1251S00000XCommunity/Behavioral Health Agency
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 : 1760677017
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR ANALYSIS SUPPORT SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 357370
Second Line :
City : GAINESVILLE
State : FL
Zip : 32635-7370
Country : US
Telephone Number : 352-332-8588
Fax Number : 352-332-8589
Provider Business Practice Location Address
First Line : 1000 NE 16TH AVE BLDG D
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4541
Country : US
Telephone Number : 877-823-4283
Fax Number : 352-332-8589
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN DENNIS ADELINIS
Credential : BCBA, M.A
Telephone Number : 352-332-8588
Provider Enumeration Date : 09/10/2007
Last Update Date : 12/13/2021

Similar Medicare Providers

1962359661 — TIFFANY WILKINS
Practice Location Address:
1000 NE 16TH AVE
GAINESVILLE, FL
32601-4541
Practice Phone: 877-823-4283
Practice Fax:
1346895034 — TAELOR KELLUM
Practice Location Address:
1000 NE 16TH AVE BLDG D
GAINESVILLE, FL
32601-4541
Practice Phone: 352-332-8588
Practice Fax: 352-332-8589
1932740396 — DIVYA JAWAHARLAL
Practice Location Address:
1000 NE 16TH AVE BLDG D
GAINESVILLE, FL
32601-4541
Practice Phone: 352-332-8588
Practice Fax: 352-332-8589
1396381323 — JOSHUA BECKHAM
Practice Location Address:
1000 NE 16TH AVE BLDG D
GAINESVILLE, FL
32601-4541
Practice Phone: 352-332-8588
Practice Fax:
1255965786 — VANESSA ATEHORTUA RBT
Practice Location Address:
1000 NE 16TH AVE BLDG D
GAINESVILLE, FL
32601-4541
Practice Phone: 877-823-4283
Practice Fax: 352-332-8589
1669006193 — JODY HOLMES RBT
Practice Location Address:
1000 NE 16TH AVE
GAINESVILLE, FL
32601-4541
Practice Phone: 877-823-4283
Practice Fax: 352-332-8589

Directions to “BEHAVIOR ANALYSIS SUPPORT SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.