Organization
CHILDREN'S CHOICE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN FREEMAN BCBA (OWNER)
(863) 934-2368
Entity
Organization
Contact information
Practice address
5619 AUTUMN RIDGE RD APT 208, LAKELAND, FL 33805-2794
(863) 934-2368
Mailing address
5619 AUTUMN RIDGE RD APT 208, LAKELAND, FL 33805-2794
(863) 934-2368
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019767100
—
FL
01
—
14539706
CAQH
FL
Enumeration date
08/28/2023
Last updated
11/27/2023
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