Organization
PROGRESSIVE BEHAVIOR CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON CLARK M.A. (BEHAVIOR ANALYST)
(850) 567-5657
Entity
Organization
Contact information
Practice address
6 ROSEBERRY CIR, PORT WENTWORTH, GA 31407-5612
(850) 567-5657
Mailing address
6 ROSEBERRY CIR, PORT WENTWORTH, GA 31407-5612
(850) 567-5657
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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