FST Behavioral

Behavior Analyst · Leesburg, FL

Organization Active NPI

NPI number 1114733581

Practice location

606 S 9TH St
Leesburg, FL 34748-6320
Phone
(800) 378-7597

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NPI record

NPI
1114733581
Entity type
Organization (Type 2)
Enumeration date
December 10, 2024
Last updated
December 10, 2024
Certified
December 10, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

1650 Sand Lake Rd Ste 230
Orlando, FL 32809-9138

Authorized official

Name
Federico Nicholas
Title
COO
Phone
(407) 530-5063

About FST Behavioral

FST Behavioral is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 606 S 9TH St, Leesburg, FL 34748-6320. The NPI number 1114733581 was assigned on December 10, 2024 and the record was last updated on December 10, 2024.

The authorized official for this organization is Federico Nicholas, COO.

Frequently asked questions

What is the NPI number of FST Behavioral?

The NPI number is 1114733581.

What is the phone number of FST Behavioral?

The phone number listed for the practice location is (800) 378-7597.

Where is FST Behavioral located?

606 S 9TH St, Leesburg, FL 34748-6320.

What is the taxonomy code for FST Behavioral?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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