Organization
ADVANCED BEHAVIOR HEALTH ANALYSIS LLC
Active
Other names
ABHA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE GRACELA WEBB LMHC, BCBA (OWNER)
(252) 529-9259
Entity
Organization
Contact information
Practice address
124 E MIRACLE STRIP PKWY STE 503, MARY ESTHER, FL 32569-1991
(252) 529-9259
Mailing address
2914 BENTWOOD LN, FORT WALTON BEACH, FL 32547-6855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/17/2018
Last updated
12/29/2018
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