NPI 1306409354 · live from the CMS NPI Registry
All Therapies Support, INC
Behavior Analyst in Palm Coast, FL. National Provider Identifier 1306409354, active.
NPI record
| NPI | 1306409354 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 23 Rybar Ln, Palm Coast, FL 32164 |
| Practice phone | 386-316-3004 |
| Enumerated | April 16, 2019 |
| Last updated | September 29, 2022 |
| Authorized official | Melissa Mossford-Carroll, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Case Management | 251B00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.