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Organization
LIFELONG BEHAVIORAL SERVICES, LLC
Active
Organization
LIFELONG BEHAVIORAL SERVICES, LLC
Active
Parent organization
LIFELONG BEHAVIORAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELONG BEHAVIORAL SERVICES, LLC
Authorized official
MARLENE ELAINE LOEWEN BCBA (BEHAVIOR ANALYST)
(850) 626-6132
Entity
Organization
Contact information
Practice address
4629 CHURCH ST, MILTON, FL 32583-4107
(850) 503-6636
(850) 626-6132
Mailing address
4629 CHURCH ST, MILTON, FL 32583-4107
(850) 503-6636
(850) 626-6132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13522
—
Other
Enumeration date
10/02/2017
Last updated
09/19/2022
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