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Organization
GALAXY BEHAVIOR THERAPY INC
Active
Organization
GALAXY BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISSEL CHANG (OWNER)
(786) 317-0375
Entity
Organization
Contact information
Practice address
904 LEE BLVD STE 109, LEHIGH ACRES, FL 33936-4953
(786) 317-0375
(855) 523-1291
Mailing address
904 LEE BLVD STE 109, LEHIGH ACRES, FL 33936-4953
(786) 317-0375
(855) 523-1291
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018657300
—
FL
05
—
108848300
—
FL
Enumeration date
01/30/2017
Last updated
06/25/2025
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