Organization
BEHAVIORAL & WELLNESS SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARY LEON (CLINICAL DIRECTOR)
(239) 288-6257
Entity
Organization
Contact information
Practice address
12995 S CLEVELAND AVE, FORT MYERS, FL 33907-3890
(239) 288-6257
Mailing address
12995 S CLEVELAND AVE STE 216, FORT MYERS, FL 33907-3807
(239) 288-6257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003172453
—
FL
Enumeration date
09/16/2021
Last updated
01/20/2023
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