Organization
BEHAVIOR MATTERS SOUTHEAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKA P EDGE BCBA (CEO)
(253) 686-6958
Entity
Organization
Contact information
Practice address
13007 WOODFORD ST, ORLANDO, FL 32832-6940
(253) 686-6958
(855) 726-5366
Mailing address
13007 WOODFORD ST, ORLANDO, FL 32832-6940
(253) 686-6958
(855) 726-5366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-7144
APPLIED BEHAVIOR ANALYSIS
—
Enumeration date
03/19/2019
Last updated
06/11/2019
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