Fly Wheel Center FL LLC
Organization Active NPI Behavior Analyst · Heathrow, FL
NPI 1962290312 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1962290312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- FLY WHEEL CENTER FL LLC
- Practice address
- 400 International Pkwy
Heathrow, FL 32746-5061 - Phone
- (347) 524-8681
- NPI assigned
- Apr 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Shraga F Waxman
- Title
- Ceo
- Phone
- (347) 524-8681
National Provider Directory
Locations
400 International Pkwy
Lake Mary, FL 32746
Phone (407) 732-5848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
400 International Pkwy
Heathrow, FL 32746-5061
Mailing address
174 White St
Lakewood, NJ 08701-4054
Phone (347) 524-8681
Other providers in Heathrow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.