North Brevard Medical Support, INC

NPI #1841829280 in Cocoa, Florida

Provider Information

NPI Number: 1841829280
Entity Type: Organization
Organization Name: North Brevard Medical Support, INC
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH BREVARD MEDICAL SUPPORT, INC.
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 7, 2020
Last Updated: Apr 7, 2020

Practice Location

Address: 7075 N US HIGHWAY 1
City: Cocoa
State: Florida
ZIP Code: 32927-5216
Phone: (321) 268-6111

Authorized Official

Name: GEORGE MIKITARIAN, PRESIDENT/CEO
Title: PRESIDENT/CEO
Phone: (321) 268-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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