| 321 Behavior Consultants Llc | |
|
956 Golden Beach Blvd Indn Hbr Bch FL 32937-2755 | |
| (904) 763-6045 | |
| Not Available |
| Full Name | 321 Behavior Consultants Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 956 Golden Beach Blvd, Indn Hbr Bch, Florida |
| Authorized Official Name and Position | Jesse Allgood (OWNER) |
| Authorized Official Contact | 9047636045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 321 Behavior Consultants Llc 956 Golden Beach Blvd Indn Hbr Bch FL 32937-2755 Ph: (904) 763-6045 | 321 Behavior Consultants Llc 956 Golden Beach Blvd Indn Hbr Bch FL 32937-2755 Ph: (904) 763-6045 |
| NPI Number | 1912650433 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912650433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |