| Ally in Behavior LLC | |
|
3997 Eternity Cir Saint Cloud FL 34772-8268 | |
| (321) 202-6913 | |
| Not Available |
| Full Name | Ally in Behavior LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3997 Eternity Cir, Saint Cloud, Florida |
| Authorized Official Name and Position | Abisai Soto (OWNER) |
| Authorized Official Contact | 3212026913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally in Behavior LLC 3997 Eternity Cir Saint Cloud FL 34772-8268 Ph: (321) 202-6913 | Ally in Behavior LLC 3997 Eternity Cir Saint Cloud FL 34772-8268 Ph: (321) 202-6913 |
| NPI Number | 1588241491 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588241491 | NPI | - | NPPES |
| 108937400 | Medicaid | FL | |
| 107533300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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