| Blueheart Behavioral Services For Kids Llc | |
|
3282 Canoe Creek Rd Saint Cloud FL 34772-9115 | |
| (407) 498-4079 | |
| Not Available |
| Full Name | Blueheart Behavioral Services For Kids Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3282 Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Jeanice Gelabert (OWNER) |
| Authorized Official Contact | 4076245649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueheart Behavioral Services For Kids Llc 3282 Canoe Creek Rd Saint Cloud FL 34772-9115 Ph: (407) 498-4079 | Blueheart Behavioral Services For Kids Llc 3282 Canoe Creek Rd Saint Cloud FL 34772-9115 Ph: (407) 498-4079 |
| NPI Number | 1104494327 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104494327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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