Organization
BEHAVIORAL GROWTH CENTER ABA. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA MARRERO RBT (MANAGER)
(863) 738-4919
Entity
Organization
Contact information
Practice address
123 TUSCARORA ST, LAKELAND, FL 33805-2956
(863) 738-4919
Mailing address
123 TUSCARORA ST, LAKELAND, FL 33805-2956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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