Organization
BEHAVIORAL EVOLUTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY STOVER M.A., BCBA (OWNER)
(727) 403-6171
Entity
Organization
Contact information
Practice address
4429 BEAUCHAMP CT, SARASOTA, FL 34243-2685
(727) 403-6171
Mailing address
4429 BEAUCHAMP CT, SARASOTA, FL 34243-2685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017424100
—
FL
Enumeration date
08/30/2010
Last updated
10/23/2024
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