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Organization
EVOLVE BEHAVIOR THERAPY SERVICES LLC
Active
Organization
EVOLVE BEHAVIOR THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER L BEEHLER (OWNER)
(651) 795-1755
Entity
Organization
Contact information
Practice address
1910 PARK MEADOWS DR STE 103, FORT MYERS, FL 33907-3830
(239) 260-4218
(239) 900-1283
Mailing address
1910 PARK MEADOWS DR STE 103, FORT MYERS, FL 33907-3830
(239) 260-4218
(239) 900-1283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2021
Last updated
10/26/2023
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