| Evner Behavior Services, Llc | |
|
12350 Shore Acres Dr Jacksonville FL 32225-5670 | |
| (770) 500-8137 | |
| Not Available |
| Full Name | Evner Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12350 Shore Acres Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Courtney Rollings Latham (OWNER/BCBA) |
| Authorized Official Contact | 7705008137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evner Behavior Services, Llc 12350 Shore Acres Dr Jacksonville FL 32225-5670 Ph: () - | Evner Behavior Services, Llc 12350 Shore Acres Dr Jacksonville FL 32225-5670 Ph: (770) 500-8137 |
| NPI Number | 1134899685 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134899685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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