Organization
VURSATYLE YOUTH SOLUTIONS
Active
Organization
VURSATYLE YOUTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA EDWARD MA, BCBA (OWNER/BEHAVIOR ANALYST)
(239) 297-8301
Entity
Organization
Contact information
Practice address
1242 SW PINE ISLAND RD, SUITE 42-285, CAPE CORAL, FL 33991-2120
(239) 297-8301
Mailing address
1242 SW PINE ISLAND RD, SUITE 42-285, CAPE CORAL, FL 33991-2120
(239) 297-8301
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689849196
—
FL
Enumeration date
04/22/2008
Last updated
12/04/2012
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