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Organization
LIFESTANCE HEALTH
Active
Organization
LIFESTANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE EUBANKS (DIRECTOR OF OPERATIONS)
(407) 579-8177
Entity
Organization
Contact information
Practice address
260 LOOKOUT PL STE 101, MAITLAND, FL 32751-4485
(407) 537-9450
Mailing address
260 LOOKOUT PL STE 101, MAITLAND, FL 32751-4485
(407) 537-9450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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