Sunshine State Behavior Analysis LLC

Behavior Analyst · Ponte Vedra, FL

Organization Active NPI

NPI number 1689114308

Practice location

210 White Marsh Dr
Ponte Vedra, FL 32081-6096
Phone
(904) 553-1541

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NPI record

NPI
1689114308
Entity type
Organization (Type 2)
Enumeration date
February 28, 2017
Last updated
February 28, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Mr. Travis Heath Ross, BCBA
Title
Behavior Analyst/Owner
Phone
(904) 553-1541

About Sunshine State Behavior Analysis LLC

Sunshine State Behavior Analysis LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 210 White Marsh Dr, Ponte Vedra, FL 32081-6096. The NPI number 1689114308 was assigned on February 28, 2017 and the record was last updated on February 28, 2017.

The authorized official for this organization is Mr. Travis Heath Ross, BCBA, Behavior Analyst/Owner.

Frequently asked questions

What is the NPI number of Sunshine State Behavior Analysis LLC?

The NPI number is 1689114308.

What is the phone number of Sunshine State Behavior Analysis LLC?

The phone number listed for the practice location is (904) 553-1541.

Where is Sunshine State Behavior Analysis LLC located?

210 White Marsh Dr, Ponte Vedra, FL 32081-6096.

What is the taxonomy code for Sunshine State Behavior Analysis LLC?

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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