The Ecotherapy Place LLC

NPI #1992448161 in Alva, Florida

Provider Information

NPI Number: 1992448161
Entity Type: Organization
Organization Name: The Ecotherapy Place LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 15, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 18320 PERSIMMON RIDGE RD
City: Alva
State: Florida
ZIP Code: 33920-2037
Phone: (239) 895-6954

Authorized Official

Name: CRISTIANE FERNANDES, LCSW
Title: CLINICIAN
Phone: (239) 895-6954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Behavior Analyst	103K00000X	Primary

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