Blue Iris Behavioral Services Corp

LBN: Blue Iris Behavioral Services Corp
Blue Iris Behavioral Services Corp is an health care organization with primary practice located at 4640 Lipscomb St Ne Ste 4 , Palm Bay FL 32905-2986. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Blue Iris Behavioral Services Corp can be contacted via phone (321) 537-4467, or through Polanco, Diliana B via phone (321) 537-4467.

Contact Information

Primary practice address
4640 Lipscomb St Ne Ste 4 Palm Bay FL 32905-2986
Phone: (321) 537-4467
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polanco, Diliana B Licensed Clinical Social Worker (LCSW)
Phone: (321) 537-4467

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1023777935
LBN Legal business name Blue Iris Behavioral Services Corp
DBA Doing business as
Authorized official Polanco, Diliana B Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2021
Last updated Dec 8th, 2021 - about 3 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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