Organization
FOUR SEASONS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL BRANT (CEO)
(386) 603-4600
Entity
Organization
Contact information
Practice address
6 MERIDIAN HOME LN, PALM COAST, FL 32137-2402
(786) 351-4493
Mailing address
6 MERIDIAN HOME LN, PALM COAST, FL 32137-2402
(786) 351-4493
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
05/13/2021
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