Diverse Interventions Social and Behavioral Sciences, LLC

Organization Active NPI Early Intervention Provider Agency · Seffner, FL

NPI 1285329540 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1285329540
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC
Practice address
501 Sportsman Park Dr
Seffner, FL 33584-4153
Phone
(813) 531-5380
NPI assigned
Apr 11, 2023
Organization subpart
No

Authorized official

Name
Dr. Christine Li'Chele' Moore, PHD
Title
Ceo
Phone
(813) 531-5380

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

501 Sportsman Park Dr
Seffner, FL 33584-4153

Mailing address

PO Box 1526
Seffner, FL 33583-1526
Phone (813) 531-5380

Other providers in Seffner, FL

All providers in Seffner, FL · Early Intervention Provider Agency in Florida

Sources for this page

Verify at the official NPI Registry.