| The Social House Of Florida, Llc | |
|
1971 Fairway Loop Kissimmee FL 34746-4504 | |
| (770) 330-8490 | |
| Not Available |
| Full Name | The Social House Of Florida, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1971 Fairway Loop, Kissimmee, Florida |
| Authorized Official Name and Position | Shaun Hawkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7703308490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Social House Of Florida, Llc 1971 Fairway Loop Kissimmee FL 34746-4504 Ph: (770) 330-8490 | The Social House Of Florida, Llc 1971 Fairway Loop Kissimmee FL 34746-4504 Ph: (770) 330-8490 |
| NPI Number | 1275916041 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275916041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18922 (* (Not Available)) | Primary |
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