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Contact Information

BEHAVIORAL ARTS & RESEARCH CLINIC L
11798 SAN JOSE BLVD
SUITE 2
JACKSONVILLE, FL32223
 Phone: 904-371-4948
 Fax: 904-371-4958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEHAVIORAL ARTS RESEARCH CLINIC L · (Female)

NPI Number 1467547091
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY7115
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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