Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
FENIX BEHAVIOR THERAPY CO.
Active
Organization
FENIX BEHAVIOR THERAPY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUCEL TEJEDA BCBA (CLINICAL DIRECTOR)
(239) 628-6999
Entity
Organization
Contact information
Practice address
1705 COLONIAL BLVD STE B4, FORT MYERS, FL 33907-1141
(239) 628-6999
Mailing address
6660 ESTERO BLVD UNIT B404, FORT MYERS BEACH, FL 33931-4567
(239) 628-6999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
07/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up