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Organization

CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REEVA MORTON PH.D., BCBA-D (BOARD CERTIFIED BEHAVIOR ANALYST)
(443) 996-9471
Entity
Organization

Contact information

Practice address
12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826
(352) 612-2632
Mailing address
12220 ATLANTIC BLVD STE 130, JACKSONVILLE, FL 32225-5826

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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