| Puttential, Inc | |
|
1222 Winter Garden Vineland Rd Ste 112 Winter Garden FL 34787-4449 | |
| (407) 877-0029 | |
| (407) 358-5207 |
| Full Name | Puttential, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1222 Winter Garden Vineland Rd Ste 112, Winter Garden, Florida |
| Authorized Official Name and Position | Charity Le Antoinette Higgins (OWNER) |
| Authorized Official Contact | 9545942822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puttential, Inc 1222 Winter Garden Vineland Rd Ste 112 Winter Garden FL 34787-4449 Ph: (407) 877-0029 | Puttential, Inc 1222 Winter Garden Vineland Rd Ste 112 Winter Garden FL 34787-4449 Ph: (407) 877-0029 |
| NPI Number | 1003798166 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003798166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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