| Adventure Behavioral Services Corp | |
|
3705 Fountainbleu Blvd Kissimmee FL 34746-3223 | |
| (407) 698-7969 | |
| Not Available |
| Full Name | Adventure Behavioral Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3705 Fountainbleu Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | Ernesto Cardenas Reyes (MANAGER,CEO) |
| Authorized Official Contact | 5613062140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Behavioral Services Corp 3705 Fountainbleu Blvd Kissimmee FL 34746-3223 Ph: (407) 698-7969 | Adventure Behavioral Services Corp 3705 Fountainbleu Blvd Kissimmee FL 34746-3223 Ph: (407) 698-7969 |
| NPI Number | 1730961806 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730961806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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