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Contact Information

BEHAVIORAL INDEPENDENCE
454 FORT FLORIDA RD
DEBARY, FL32713-9714
 Phone: 386-562-0170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for BEHAVIORAL INDEPENDENCE · (Female)

NPI # 1932621810
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2017
Last updated 06/16/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 1-08-4879
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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