| Proactive Behavioral Health Llc | |
|
4624 Hollywood Blvd Ste 203 Hollywood FL 33021-6526 | |
| (954) 589-1971 | |
| Not Available |
| Full Name | Proactive Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4624 Hollywood Blvd Ste 203, Hollywood, Florida |
| Authorized Official Name and Position | Lamaire C Felix (OFFICER) |
| Authorized Official Contact | 9545891971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Behavioral Health Llc 4624 Hollywood Blvd Ste 203 Hollywood FL 33021-6526 Ph: () - | Proactive Behavioral Health Llc 4624 Hollywood Blvd Ste 203 Hollywood FL 33021-6526 Ph: (954) 589-1971 |
| NPI Number | 1164108809 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164108809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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