# CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285378844
- **Authorized official:** REEVA MORTON PH.D., BCBA-D (BOARD CERTIFIED BEHAVIOR ANALYST)
- **Authorized official phone:** (443) 996-9471

## Contact information

- **Practice address:** 12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826
- **Practice address phone:** (352) 612-2632
- **Mailing address:** 12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022