Organization
BEHAVIORAL AND LIFE CONNECTIONS
Active
Other names
B L C
Organization subpart
No
Provider details
NPI number
Authorized official
DEAUNDRA JACKSON (MEMBER)
(850) 427-3079
Entity
Organization
Contact information
Practice address
8219 FRONT BEACH RD STE B # 2148, PANAMA CITY BEACH, FL 32407-4822
(850) 427-3079
Mailing address
PO BOX 5812, MARIANNA, FL 32447-5812
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
01/05/2025
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