Organization
STRENGTH PROVIDER INC.
Active
Organization
STRENGTH PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN GAMA BMASSANGA BCBA (PRESIDENT)
(305) 494-4392
Entity
Organization
Contact information
Practice address
1140 LEE BLVD, LEHIGH ACRES, FL 33936-4800
(305) 494-4392
(888) 441-6806
Mailing address
1140 LEE BLVD STE 111, LEHIGH ACRES, FL 33936-4800
(305) 494-4392
(888) 441-6806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-02-0914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685676496
—
FL
Enumeration date
11/14/2016
Last updated
05/27/2024
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