Organization
LIFESPAN BEHAVIOR SERVICES LLC
Active
Organization
LIFESPAN BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TOBON M.S. (MANAGER/SUPERVISING BEHAVIOR ANALYS)
(352) 233-7465
Entity
Organization
Contact information
Practice address
4611 SE 100TH PL, BELLEVIEW, FL 34420-3013
(352) 559-2539
Mailing address
4611 SE 100TH PL, BELLEVIEW, FL 34420-3013
(352) 559-2539
(352) 547-5787
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
01/15/2025
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