Behavior Services Of Brevard, Inc.

LBN: Behavior Services Of Brevard, Inc.
Behavior Services Of Brevard, Inc. is an health care organization with primary practice located at 550 Solutions Way , Rockledge FL 32955-3620. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Behavior Services Of Brevard, Inc. can be contacted via phone (321) 639-9800, or through Wagner, Karen R via phone (321) 639-9800.

Contact Information

Primary practice address
550 Solutions Way Rockledge FL 32955-3620
Phone: (321) 639-9800
Fax: (321) 639-6007
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Karen R PH.D., LMHC, BCBA-D
Phone: (321) 639-9800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X Florida
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1548464423
LBN Legal business name Behavior Services Of Brevard, Inc.
DBA Doing business as
Authorized official Wagner, Karen R PH.D., LMHC, BCBA-D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 15th, 2017 - about 7 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 1548464423 NPPES
Florida MEDICAID 675637996
Florida MEDICAID 003366900
Florida MEDICAID 675637998
Florida MEDICAID 003125600
Florida MEDICAID 017452000

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