Organization
FOUNDATIONS IN BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORNE THOMAS BALMER BCBA (BEHAVIOR ANALYST/OWNER)
(765) 776-6668
Entity
Organization
Contact information
Practice address
255 PRIMERA BLVD, SUITE 160B, LAKE MARY, FL 32746-2158
(765) 776-6668
Mailing address
255 PRIMERA BLVD, SUITE 160B, LAKE MARY, FL 32746-2158
(765) 776-6668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0-16-7295
—
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5012
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018489600
—
FL
05
—
018833200
—
FL
Enumeration date
03/17/2017
Last updated
04/08/2017
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