| Behavior Analysis Support Services, Inc | |
|
3440 Us Highway 1 S Ste 202 St Augustine FL 32086-6363 | |
| (877) 823-4283 | |
| (352) 332-8589 |
| Full Name | Behavior Analysis Support Services, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3440 Us Highway 1 S Ste 202, St Augustine, Florida |
| Authorized Official Name and Position | John Dennis Adelinis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3523328588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis Support Services, Inc 2035 Sw 75th St Ste B Gainesville FL 32607-3425 Ph: (877) 823-4283 | Behavior Analysis Support Services, Inc 3440 Us Highway 1 S Ste 202 St Augustine FL 32086-6363 Ph: (877) 823-4283 |
| NPI Number | 1215673959 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215673959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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