Baptist Behavioral Health, LLC

NPI #1932831930 in Jacksonville, Florida

Provider Information

NPI Number: 1932831930
Entity Type: Organization
Organization Name: Baptist Behavioral Health, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BAPTIST BEHAVIORAL HEALTH, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 28, 2022
Last Updated: Jun 28, 2022

Practice Location

Address: 1650 PRUDENTIAL DRIVE
Address 2: STE 102
City: Jacksonville
State: Florida
ZIP Code: 32207-8149
Phone: (904) 376-3800

Authorized Official

Name: ELIZABETH TISH DE MEDICI
Title: CREDENTIALING MGR
Phone: (904) 376-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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