Revive Behavioral Therapy LLC
Behavior Analyst · Parrish, FL
Practice location
4715 Charles Partin DrParrish, FL 34219-1243
- Phone
- (857) 500-3381
NPI record
- NPI
- 1699591271
- Entity type
- Organization (Type 2)
- Enumeration date
- November 27, 2024
- Last updated
- November 27, 2024
- Certified
- November 27, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
| Clinic/Center | 261Q00000X |
— | — |
Authorized official
- Name
- Kevin Douglas Kent, M.A.
- Title
- Bcba
- Phone
- (857) 500-3381
About Revive Behavioral Therapy LLC
Revive Behavioral Therapy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4715 Charles Partin Dr, Parrish, FL 34219-1243. The NPI number 1699591271 was assigned on November 27, 2024 and the record was last updated on November 27, 2024.
The authorized official for this organization is Kevin Douglas Kent, M.A., Bcba.
Frequently asked questions
What is the NPI number of Revive Behavioral Therapy LLC?
The NPI number is 1699591271.
What is the phone number of Revive Behavioral Therapy LLC?
The phone number listed for the practice location is (857) 500-3381.
Where is Revive Behavioral Therapy LLC located?
4715 Charles Partin Dr, Parrish, FL 34219-1243.
What is the taxonomy code for Revive Behavioral Therapy LLC?
The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.
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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