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THE ECOTHERAPY PLACE LLC NPI 1992448161


NPI Information

NPI: 1992448161
Provider Name: THE ECOTHERAPY PLACE LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
18320 PERSIMMON RIDGE RD
ALVA, FL
ZIP 33920
Phone: (239) 895-6954
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THE ECOTHERAPY PLACE LLC is a behavior analyst in Alva, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. THE ECOTHERAPY PLACE LLC NPI is 1992448161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18320 PERSIMMON RIDGE RD
ALVA, FL
ZIP 33920-037
Phone: (239) 895-6954

The provider's authorized official is Cristiane Fernandes .
The authorized official title is Clinician and has the following contact phone number (239) 895-6954.

The enumeration date for this NPI number is 4/15/2022 and was last updated on 10/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111229900MEDICAIDFLORIDA
2114247300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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