Organization · NPI-2
Achieve Behavioral Development Services
Behavior Analyst · Lakeland, FL
NPI number1821530841
StatusActive
Last updated in NPPESNov 8, 2016
Details
- NPI
- 1821530841
- Entity type
- Organization (NPI-2)
- Legal business name
- Achieve Behavioral Development Services
- Organization subpart
- No
- Enumeration date
- Nov 8, 2016
- Last updated
- Nov 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-17191 | – | Yes |
Practice location
4060 Sunset Lake DrLakeland, FL 33810-2841
Phone 863-670-1900
Mailing address
4060 Sunset Lake DrLakeland, FL 33810-2841
Phone 863-670-1900
Authorized official
Michael T Medlin
Owner/Ceo
8636701900
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