| Loli Behavioral Solutions | |
|
2309 Bluegill Ct Saint Augustine FL 32092-2433 | |
| (610) 597-9514 | |
| (904) 395-9034 |
| Full Name | Loli Behavioral Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2309 Bluegill Ct, Saint Augustine, Florida |
| Authorized Official Name and Position | Jason Jones (DIRECTOR/OWNER) |
| Authorized Official Contact | 6105979514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loli Behavioral Solutions 2309 Bluegill Ct Saint Augustine FL 32092-2433 | Loli Behavioral Solutions 2309 Bluegill Ct Saint Augustine FL 32092-2433 Ph: (610) 597-9514 |
| NPI Number | 1245693688 |
|---|---|
| Provider Enumeration Date | 04/02/2016 |
| Last Update Date | 04/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245693688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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