Organization
BEHAVIOR HEIGHTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA M MEDINA (SVP)
(786) 773-8356
Entity
Organization
Contact information
Practice address
405 LAKE VIEW LN, PALM BAY, FL 32909-7126
(786) 773-8356
Mailing address
405 LAKE VIEW LN, PALM BAY, FL 32909-7126
(786) 773-8356
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548751993
—
FL
Enumeration date
08/07/2023
Last updated
08/07/2023
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