| Behavioral Intervention Therapy Services Llc | |
|
4273 Sw Mcclellen St Port St. Lucie FL 34953 | |
| (561) 398-5309 | |
| Not Available |
| Full Name | Behavioral Intervention Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4273 Sw Mcclellen St, Port St. Lucie, Florida |
| Authorized Official Name and Position | Shannon Simone Chatman (OWNER) |
| Authorized Official Contact | 5613985309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Intervention Therapy Services Llc 4273 Sw Mcclellen St Port St. Lucie FL 34953 Ph: (561) 398-5309 | Behavioral Intervention Therapy Services Llc 4273 Sw Mcclellen St Port St. Lucie FL 34953 Ph: (561) 398-5309 |
| NPI Number | 1972173227 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972173227 | NPI | - | NPPES |
| 841447 | Medicaid | FL |
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