Proverbs 22:6 Behavioral Therapy Inc

LBN: Proverbs 22:6 Behavioral Therapy Inc
Proverbs 22:6 Behavioral Therapy Inc is an health care organization with primary practice located at 1086 Sw Colorado Ave , Port St Lucie FL 34953-1803. 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. Proverbs 22:6 Behavioral Therapy Inc can be contacted via phone (305) 439-0263, or through Kidd, Robert James via phone (305) 439-0263.

Contact Information

Primary practice address
1086 Sw Colorado Ave Port St Lucie FL 34953-1803
Phone: (305) 439-0263
Fax: (786) 288-3617
Website:
Map and Directions
Authorized official contact:
Name: Kidd, Robert James DPT
Phone: (305) 439-0263

Health care specialties

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

Profile Details

NPI number 1649886664
LBN Legal business name Proverbs 22:6 Behavioral Therapy Inc
DBA Doing business as
Authorized official Kidd, Robert James DPT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2020
Last updated Sep 16th, 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 1649886664 NPPES
Florida MEDICAID 002500900

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