Organization
AUSOME BEHAVIORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA NICOLE WELLS MED (CO-OWNER)
(904) 683-4226
Entity
Organization
Contact information
Practice address
9357 PHILIPS HWY STE 3, JACKSONVILLE, FL 32256-1368
(904) 683-4226
Mailing address
9357 PHILIPS HWY STE 3, JACKSONVILLE, FL 32256-1368
(904) 683-4226
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578982591
—
FL
05
—
1982023834
—
FL
Enumeration date
05/17/2017
Last updated
06/01/2023
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