Organization
ADVANCED BEHAVIORAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA J. RAGAN (PRESIDENT)
(352) 519-4362
Entity
Organization
Contact information
Practice address
4600 NW 41ST PL, GAINESVILLE, FL 32606-4511
(352) 575-0362
Mailing address
4600 NW 41ST PL, GAINESVILLE, FL 32606-4511
(352) 575-0362
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
004375800
FL
253Z00000X
In Home Supportive Care Agency
232841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004375800
—
FL
Enumeration date
06/02/2010
Last updated
06/11/2013
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