Blue Iris Behavioral Services Corp

NPI #1023777935 in Palm Bay, Florida

Provider Information

NPI Number: 1023777935
Entity Type: Organization
Organization Name: Blue Iris Behavioral Services Corp
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 8, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 4640 LIPSCOMB ST NE STE 4
City: Palm Bay
State: Florida
ZIP Code: 32905-2986
Phone: (321) 537-4467

Authorized Official

Name: DILIANA B POLANCO, LCSW
Title: PRESIDENT
Phone: (321) 537-4467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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