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Organization
BEHAVIOR CHANGE CONSULTANTS, LLC
Active
Organization
BEHAVIOR CHANGE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY DARLENE BRYNILDSON BCBA (PRESIDENT)
(727) 586-5785
Entity
Organization
Contact information
Practice address
1158 FOUNTAINHEAD DR, LARGO, FL 33770-4228
(727) 586-5785
(727) 585-4214
Mailing address
1158 FOUNTAINHEAD DR, LARGO, FL 33770-4228
(727) 586-5785
(727) 585-4214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686320596
MEDWAIVER HCBS
FL
01
—
686320598
MEDWAIVER HCBS/FSL
FL
Enumeration date
01/03/2009
Last updated
04/27/2009
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