Organization
BEHAVIORAL INTERVENTION THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON S PRINCE BCBA (FOUNDER)
(561) 398-5309
Entity
Organization
Contact information
Practice address
3212 OLEANDER AVE, FORT PIERCE, FL 34982-6426
(772) 233-6446
(772) 264-3990
Mailing address
4273 SW MCCLELLEN ST, PORT ST LUCIE, FL 34953-6135
(561) 398-5309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841447
—
FL
Enumeration date
06/29/2021
Last updated
10/10/2025
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