Organization
PREMIERE BEHAVIORAL SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GIANSANTI (PRESIDENT)
(856) 861-5448
Entity
Organization
Contact information
Practice address
291 GATEWOOD DR, LARGO, FL 33770-2902
(352) 995-8861
(856) 599-8300
Mailing address
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 861-5448
(856) 599-8300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588164
—
NJ
05
—
114080800
—
FL
05
—
115254900
—
FL
Enumeration date
08/11/2017
Last updated
09/12/2025
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