Back 2 Basics Behavior Therapy

LBN: White Industries, Llc
Back 2 Basics Behavior Therapy is an health care organization with primary practice located at 2808 Hawks Landing Blvd , Panama City FL 32405-6659. 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. White Industries, Llc can be contacted via phone (615) 948-7203, or through White, Alicia N via phone (615) 948-7203.

Contact Information

Primary practice address
2808 Hawks Landing Blvd Panama City FL 32405-6659
Phone: (615) 948-7203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Alicia N BCBA
Phone: (615) 948-7203

Health care specialties

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

Profile Details

NPI number 1487148383
LBN Legal business name White Industries, Llc
DBA Doing business as Back 2 Basics Behavior Therapy
Authorized official White, Alicia N BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2018
Last updated Jun 15th, 2018 - about 6 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 1487148383 NPPES
Florida MEDICAID 017740500

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