Progressive Behavior Consulting LLC
NPI #1780063651 in Port Wentworth, Georgia
Provider Information
- NPI Number
- 1780063651
- Entity Type
- Organization
- Organization Name
- Progressive Behavior Consulting LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 26, 2015
- Last Updated
- May 26, 2015
Practice Location
- Address
- 6 ROSEBERRY CIR
- City
- Port Wentworth
- State
- Georgia
- ZIP Code
- 31407-5612
- Phone
- (850) 567-5657
Authorized Official
- Name
- BRANDON CLARK, M.A.
- Title
- BEHAVIOR ANALYST
- Phone
- (850) 567-5657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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