Provider Demographics
NPI:1225724735
Name:BEHAVIORAL & WELLNESS SOLUTION LLC
Entity Type:Organization
Organization Name:BEHAVIORAL & WELLNESS SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:863-451-5316
Mailing Address - Street 1:1225 US HIGHWAY 27 S STE 202
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2145
Mailing Address - Country:US
Mailing Address - Phone:863-451-5316
Mailing Address - Fax:239-310-5550
Practice Address - Street 1:1225 US HIGHWAY 27 S STE 202
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2145
Practice Address - Country:US
Practice Address - Phone:863-451-5316
Practice Address - Fax:239-310-5550
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL & WELLNESS SOLUTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty