| Select Behavioral Health Alliance Llc | |
|
15406 Telford Spring Dr Ruskin FL 33573-0184 | |
| (813) 833-8269 | |
| Not Available |
| Full Name | Select Behavioral Health Alliance Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 15406 Telford Spring Dr, Ruskin, Florida |
| Authorized Official Name and Position | Marcos Melendez (OWNER) |
| Authorized Official Contact | 8138338269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Behavioral Health Alliance Llc 15406 Telford Spring Dr Ruskin FL 33573-0184 Ph: (813) 833-8269 | Select Behavioral Health Alliance Llc 15406 Telford Spring Dr Ruskin FL 33573-0184 Ph: (813) 833-8269 |
| NPI Number | 1265128698 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265128698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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