| Heavingly Behavior Services Inc | |
|
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 | |
| (239) 789-4700 | |
| Not Available |
| Full Name | Heavingly Behavior Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, Florida |
| Authorized Official Name and Position | Marlen E Morales (VICE PRESIDENT) |
| Authorized Official Contact | 7863514493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavingly Behavior Services Inc 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (239) 789-4700 | Heavingly Behavior Services Inc 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (239) 789-4700 |
| NPI Number | 1346984853 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346984853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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