ADVANCED BEHAVIORAL CLINICIANS LLC NPI 1639793326

NPI Information

NPI: 1639793326
Provider Name: ADVANCED BEHAVIORAL CLINICIANS, LLC

Doing Business As: ADVANCD BEHAVIORAL CLINICIANS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2650 BAHIA VISTA ST STE 209
SARASOTA, FL
ZIP 34239
Phone: (941) 870-3600
Get Directions

ADVANCED BEHAVIORAL CLINICIANS, LLC is a family nurse practitioner in Sarasota, FL. ADVANCED BEHAVIORAL CLINICIANS, LLC NPI is 1639793326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advancd Behavioral Clinicians.

The provider's business location address is:

2650 BAHIA VISTA ST STE 209
SARASOTA, FL
ZIP 34239-625
Phone: (941) 870-3600
Fax: (727) 998-8401

The provider's authorized official is Adair Lynne Deicke .
The authorized official title is Owner/ceo and has the following contact phone number (727) 239-9938.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 8/26/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008642300	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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