Organization
ACT LIFE TRANSITIONS, LLC.
Active
Other names
ACT Life Transitions, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE ERIN CONNELLY MS, BCBA (COO DIR. CLINICAL PROGRAMMING)
(321) 265-7557
Entity
Organization
Contact information
Practice address
2965 LIMPET CT, INDIALANTIC, FL 32903-1825
(321) 265-7557
Mailing address
2965 LIMPET CT, INDIALANTIC, FL 32903-1825
(321) 265-7557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2044
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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