| The Devereux Foundation | |
|
3550 N Goldenrod Rd Ste 1 Winter Park FL 32792-8823 | |
| (321) 441-1030 | |
| Not Available |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3550 N Goldenrod Rd Ste 1, Winter Park, Florida |
| Authorized Official Name and Position | Jessica Lyles (NATIONAL DIRECTOR OF ACCOUNTS REC) |
| Authorized Official Contact | 2676374536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 5850 T G Lee Blvd Ste 400 Orlando FL 32822-4409 Ph: (407) 362-9210 | The Devereux Foundation 3550 N Goldenrod Rd Ste 1 Winter Park FL 32792-8823 Ph: (321) 441-1030 |
| NPI Number | 1528835634 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528835634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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