Foundations In Behavior, LLC
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1982145306
StatusActive
Last updated in NPPESApr 8, 2017
Details
- NPI
- 1982145306
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundations In Behavior, LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2017
- Last updated
- Apr 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1-09-5012 | – | Yes |
| 251S00000X | Community/Behavioral Health | 0-16-7295 | – |
Practice location
255 Primera BlvdSuite 160b
Lake Mary, FL 32746-2158
Phone 765-776-6668
Mailing address
255 Primera BlvdSuite 160b
Lake Mary, FL 32746-2158
Phone 765-776-6668
Authorized official
Lorne Thomas Balmer
Behavior Analyst/Owner
7657766668
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