| Deborah L. Mccoy Behavior Analyst Inc. | |
|
3261 Us Highway 441/27 Ste C2 Fruitland Park FL 34731-4493 | |
| (813) 957-8327 | |
| (866) 471-0650 |
| Full Name | Deborah L. Mccoy Behavior Analyst Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3261 Us Highway 441/27 Ste C2, Fruitland Park, Florida |
| Authorized Official Name and Position | Deborah L Mccoy (PRESIDENT/CEO) |
| Authorized Official Contact | 8139578327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L. Mccoy Behavior Analyst Inc. 3261 Us Highway 441/27 Ste C2 Fruitland Park FL 34731-4493 Ph: (813) 957-8327 | Deborah L. Mccoy Behavior Analyst Inc. 3261 Us Highway 441/27 Ste C2 Fruitland Park FL 34731-4493 Ph: (813) 957-8327 |
| NPI Number | 1952628059 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952628059 | NPI | - | NPPES |
| 01851200 | Medicaid | FL | |
| 676938196 | Other | FL | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0-08-2523 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 1-01-0560 (Florida) | Primary |
C. Couts, Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 U.s. Highway 27/441, Suite C-2, Fruitland Park, FL 34731 Phone: 352-323-6050 Fax: 352-323-0913 | |
Upper Room Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3420 Hwy 27/441, Fruitland Park, FL 34731 Phone: 352-435-4631 Fax: 352-435-4632 |