Organization
BEHAVIORAL PROGRESSION, INC
Active
Other names
Nicole Minard, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MINARD M.A., BCBA (OWNER)
(863) 602-0698
Entity
Organization
Contact information
Practice address
1284 DEVIN OAKS CT, LAKELAND, FL 33811-2383
(863) 602-0698
(813) 354-2715
Mailing address
1284 DEVIN OAKS CT, LAKELAND, FL 33811-2383
(863) 602-0698
(813) 354-2715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
1-14-15928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014690000
—
FL
05
—
018166500
—
FL
Enumeration date
09/04/2014
Last updated
10/15/2018
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