Revive Behavioral Therapy LLC

NPI #1699591271 in Parrish, Florida

Provider Information

NPI Number: 1699591271
Entity Type: Organization
Organization Name: Revive Behavioral Therapy LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 27, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 4715 CHARLES PARTIN DR
City: Parrish
State: Florida
ZIP Code: 34219-1243
Phone: (857) 500-3381

Authorized Official

Name: KEVIN DOUGLAS KENT, M.A.
Title: BCBA
Phone: (857) 500-3381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Behavior Analyst	103K00000X	Primary

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