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Organization

BEHAVIOR SERVICES OF BREVARD, INC.

Active
Other names
Behavior Education Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN R WAGNER FL LMHC, BCBA-D (OWNER/ CLINICAL DIRECTOR)
(321) 639-9800
Entity
Organization

Contact information

Practice address
550 SOLUTIONS WAY, ROCKLEDGE, FL 32955-3620
(321) 639-9800
(321) 639-6007
Mailing address
550 SOLUTIONS WAY, ROCKLEDGE, FL 32955-3620
(321) 639-9800
(321) 639-6007

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
251S00000X
Community/Behavioral Health Agency
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003125600
FL
05
003366900
FL
05
017452000
FL
Enumeration date
06/13/2007
Last updated
02/11/2025
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