| Dianne C. Wood Bcba | |
|
5915 Sea Ranch Dr Unit 907 Hudson FL 34667-4557 | |
| (727) 267-8076 | |
| (866) 420-1763 |
| Full Name | Dianne C. Wood Bcba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5915 Sea Ranch Dr, Hudson, Florida |
| Authorized Official Name and Position | Dianne C. Wood (OWNER) |
| Authorized Official Contact | 7272678076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne C. Wood Bcba 5915 Sea Ranch Dr Unit 907 Hudson FL 34667-4557 Ph: (727) 267-8076 | Dianne C. Wood Bcba 5915 Sea Ranch Dr Unit 907 Hudson FL 34667-4557 Ph: (727) 267-8076 |
| NPI Number | 1457753501 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457753501 | NPI | - | NPPES |
| 002558100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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