Organization
ONWARD MOMENTUM BEHAVIOR ANALYSIS AND MENTAL WELLNESS SERVICES, LLC
Active
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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