Behavior Services of Brevard County

Organization Active NPI Behavior Analyst · Rockledge, FL

NPI 1750828323 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1750828323
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
License
1041993 (FL)
Legal business name
BEHAVIOR SERVICES OF BREVARD COUNTY
Practice address
550 Solutions Way
Rockledge, FL 32955-3620
Phone
(321) 739-9800
NPI assigned
Jan 20, 2017
Organization subpart
No

Authorized official

Name
Dr. Karen Wagner, BCBA-D
Title
Ceo/President
Phone
(321) 639-9800

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 66

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

View all 66

National Provider Directory

Tax ID family
Behavior Education Center (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X 1041993 FL Yes

Addresses

Primary practice location

550 Solutions Way
Rockledge, FL 32955-3620

Mailing address

36227 E Eldorado Lake Dr
Eustis, FL 32736-9474
Phone (941) 357-6840

Other identifiers

IdentifierTypeStateIssuer
S60061568500OtherFLDRIVER'S LICENSE NUMBER
1041993OtherFLBCBA-D CERTIFICATION NUMBER

Other providers in Rockledge, FL

All providers in Rockledge, FL · Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.