Organization
CHILD BEHAVIOR CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES RIVERA-GONZALEZ ADMIN (PRESIDENT)
(321) 303-4819
Entity
Organization
Contact information
Practice address
897 TOWNE CENTER DR STE 101, KISSIMMEE, FL 34759-3473
(321) 303-4819
(866) 532-6911
Mailing address
3051 MENORCA CT, KISSIMMEE, FL 34744-4124
(321) 303-4819
(866) 532-6911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/03/2021
Last updated
06/15/2022
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