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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

NPI Number 1205295094
LBN Legal business name DRA BEHAVIORAL HEALTH CORP
Authorized official DAISY RAVELO - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/22/2016
Last updated 03/30/2017 - About 9 years ago
Identifiers
FL License # 59748
FL License # SW 2625
FL License # SW2625
FL Other IMT 416 INTERN MFT
FL Other SW2625 SW
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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