Behavioral Independence
NPI #1215641022 in Titusville, Florida
Provider Information
- NPI Number
- 1215641022
- Entity Type
- Organization
- Organization Name
- Behavioral Independence
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 6, 2023
- Last Updated
- Jan 6, 2023
Practice Location
- Address
- 3520 CUMBERLIN CT
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-5106
- Phone
- (321) 522-9949
Authorized Official
- Name
- MRS. AMANDA LANG, BCBA
- Title
- HEAD SUPERVISOR
- Phone
- (386) 562-0170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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