Organization
ONWARD MOMENTUM BEHAVIOR ANALYSIS AND MENTAL WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY RAY BCBA, LMHC, NCC (MANAGING MEMBER)
(850) 368-9373
Entity
Organization
Contact information
Practice address
350 HOLLYWOOD BLVD SE, FORT WALTON BEACH, FL 32548-5772
(850) 368-9373
Mailing address
350 HOLLYWOOD BLVD SE, FORT WALTON BEACH, FL 32548-5772
(850) 368-9373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-16-23681
FL
251S00000X
Community/Behavioral Health Agency
MH14594
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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