| Roots Behavior, Llc | |
|
1510 Oak Dr Fort Myers FL 33907-2816 | |
| (239) 841-9035 | |
| Not Available |
| Full Name | Roots Behavior, Llc |
|---|---|
| Speciality | Developmental Therapist |
| Location | 1510 Oak Dr, Fort Myers, Florida |
| Authorized Official Name and Position | Yashira N Martinez (OWNER) |
| Authorized Official Contact | 2398419035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Behavior, Llc 1510 Oak Dr Fort Myers FL 33907-2816 Ph: (239) 841-9035 | Roots Behavior, Llc 1510 Oak Dr Fort Myers FL 33907-2816 Ph: (239) 841-9035 |
| NPI Number | 1255904157 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255904157 | NPI | - | NPPES |
| 021240200 | Medicaid | FL |
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