# ADVANCED BEHAVIORAL CLINICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adair Deicke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134741218
- **Authorized official:** MS. ADAIR LYNNE DEICKE APRN, PMHNP-BC (CEO/OWNER)
- **Authorized official phone:** (941) 870-3600

## Contact information

- **Practice address:** 2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
- **Practice address phone:** (941) 870-3600
- **Practice address fax:** (727) 998-8401
- **Mailing address:** 2740 COCONUT BAY LN UNIT 3G, SARASOTA, FL 34237-3055
- **Mailing address phone:** (941) 870-3600
- **Mailing address fax:** (727) 998-8401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2020
- **Last updated:** 05/12/2020