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Contact Information

DRA BEHAVIORAL HEALTH CORP
6107 PALM DR
FORT PIERCE, FL34982-7577
 Phone: 954-394-2835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Early Intervention Provider Agency

252Y00000X
 

Point of Service

305S00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for DRA BEHAVIORAL HEALTH CORP · (Female)

NPI Number 1205295094
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2016
Last updated 03/30/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 59748
  • FL License # SW 2625
  • FL License # SW2625
  • FL Other IMT 416 INTERN MFT
  • FL Other SW2625 SW
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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