Pediatric Behavioral Health Associates, Inc.

NPI #1861953523 in Belleview, Florida

Provider Information

NPI Number: 1861953523
Entity Type: Organization
Organization Name: Pediatric Behavioral Health Associates, Inc.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 26, 2019
Last Updated: Mar 20, 2024

Practice Location

Address: 5818 SE AGNEW RD
City: Belleview
State: Florida
ZIP Code: 34420-4020
Phone: (561) 706-1004

Authorized Official

Name: DR. NIKKI WOLLER, PHD.,LCSW
Title: PRESIDENT
Phone: (561) 706-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Case Manager/Care Coordinator	171M00000X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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