| Childrens Caring Services Inc | |
|
12811 Kenwood Ln Ste 113 Fort Myers FL 33907-5645 | |
| (786) 296-5106 | |
| Not Available |
| Full Name | Childrens Caring Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12811 Kenwood Ln Ste 113, Fort Myers, Florida |
| Authorized Official Name and Position | Gina Manrique (VICE PRESIDENT) |
| Authorized Official Contact | 7862965106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Caring Services Inc 2407 Caslotti Way Cape Coral FL 33909-5276 Ph: (786) 296-5106 | Childrens Caring Services Inc 12811 Kenwood Ln Ste 113 Fort Myers FL 33907-5645 Ph: (786) 296-5106 |
| NPI Number | 1730806233 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730806233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Primary |
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