Behavior 180, Llc

LBN: Behavior 180, Llc
Behavior 180, Llc is an health care organization with primary practice located at 420 E Sr 434 Ste A , Longwood FL 32750-5244. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Behavior 180, Llc can be contacted via phone (407) 476-4908, or through Troutman, Kimmesha C via phone (407) 476-4908.

Contact Information

Primary practice address
420 E Sr 434 Ste A Longwood FL 32750-5244
Phone: (407) 476-4908
Fax: (844) 839-5839
Website:
Map and Directions
Authorized official contact:
Name: Troutman, Kimmesha C M.A., BCBA
Phone: (407) 476-4908

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902365638
LBN Legal business name Behavior 180, Llc
DBA Doing business as
Authorized official Troutman, Kimmesha C M.A., BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2019
Last updated Dec 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902365638 NPPES
Florida MEDICAID 017645000

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