Organization
BEHAVIOR & COGNITIVE THERAPY, INC.
Active
Other names
BCT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE JENNINGS ED. D, LMHC, BCBA-D (PRESIDENT)
(321) 544-4351
Entity
Organization
Contact information
Practice address
201 6TH AVE, INDIALANTIC, FL 32903-3303
(321) 544-4351
(321) 775-3484
Mailing address
201 6TH AVE, INDIALANTIC, FL 32903-3303
(321) 544-4351
(321) 775-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7350
FL
103K00000X
Behavior Analyst
1-00-0132
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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