Select Behavioral Health Alliance LLC
Behavior Technician in Ruskin, FL. Organization (NPI-2).
NPI number1265128698
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1265128698
- Entity type
- Organization (NPI-2)
- Legal business name
- Select Behavioral Health Alliance LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
15406 Telford Spring DrRuskin, FL 33573-0184
Phone 813-833-8269
Mailing address
15406 Telford Spring DrRuskin, FL 33573-0184
Phone 813-833-8269
Authorized official
Marcos Melendez
Owner
8138338269
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