| Ausome Behaviors Llc | |
|
9357 Philips Hwy Ste 3 Jacksonville FL 32256-1368 | |
| (904) 683-4226 | |
| Not Available |
| Full Name | Ausome Behaviors Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9357 Philips Hwy Ste 3, Jacksonville, Florida |
| Authorized Official Name and Position | Lea Nicole Wells (CO-OWNER) |
| Authorized Official Contact | 9046834226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ausome Behaviors Llc 9357 Philips Hwy Ste 3 Jacksonville FL 32256-1368 Ph: (904) 683-4226 | Ausome Behaviors Llc 9357 Philips Hwy Ste 3 Jacksonville FL 32256-1368 Ph: (904) 683-4226 |
| NPI Number | 1144757477 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144757477 | NPI | - | NPPES |
| 1982023834 | Medicaid | FL | |
| 1578982591 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Primary |
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