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Organization
CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC
Active
Organization
CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEVA MORTON PH.D., BCBA-D (BOARD CERTIFIED BEHAVIOR ANALYST)
(443) 996-9471
Entity
Organization
Contact information
Practice address
12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826
(352) 612-2632
Mailing address
12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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