| Ebs Childrens Therapy - Fl Llc | |
|
5491 Dolphin Point Blvd Jacksonville FL 32211 | |
| (904) 374-1414 | |
| Not Available |
| Full Name | Ebs Childrens Therapy - Fl Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5491 Dolphin Point Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | John Glessner (CFO) |
| Authorized Official Contact | 8005787906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebs Childrens Therapy - Fl Llc 5491 Dolphin Point Blvd Jacksonville FL 32211 Ph: (904) 374-1414 | Ebs Childrens Therapy - Fl Llc 5491 Dolphin Point Blvd Jacksonville FL 32211 Ph: (904) 374-1414 |
| NPI Number | 1457951758 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457951758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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