Roots Behavior, LLC
Behavior Analyst in Fort Myers, FL. Organization (NPI-2).
NPI number1831855352
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1831855352
- Entity type
- Organization (NPI-2)
- Legal business name
- Roots Behavior, LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2021
- Certification date
- Apr 6, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
12535 New Brittany Blvd Unit 2801Fort Myers, FL 33907-3625
Phone 239-841-9035 · Fax 941-866-2685
Mailing address
1510 Oak DrFort Myers, FL 33907-2816
Phone 239-841-9035 · Fax 941-866-2685
Authorized official
Yashira N Martinez
Bcba/Owner
2398419035
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