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Organization
HEAVINGLY BEHAVIOR SERVICES INC
Active
Organization
HEAVINGLY BEHAVIOR SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLEN E MORALES CCO (VICE PRESIDENT)
(786) 351-4493
Entity
Organization
Contact information
Practice address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 789-4700
Mailing address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 789-4700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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