Organization
IMPACT BEHAVIOR SUPPORTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOCELYN MITCHELL BCBA (PRESIDENT)
(352) 874-2986
Entity
Organization
Contact information
Practice address
1016 E NORTH BLVD, LEESBURG, FL 34748-5348
(352) 874-2986
Mailing address
1016 E NORTH BLVD, LEESBURG, FL 34748-5348
(352) 874-2986
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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