Provider Demographics
NPI:1235261702
Name:BEHAVIORAL STRATEGIES CORP.
Entity Type:Organization
Organization Name:BEHAVIORAL STRATEGIES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNA
Authorized Official - Middle Name:MARKELA
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-737-4007
Mailing Address - Street 1:3936 S SEMORAN BLVD
Mailing Address - Street 2:# 462
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4015
Mailing Address - Country:US
Mailing Address - Phone:407-737-4007
Mailing Address - Fax:407-737-7997
Practice Address - Street 1:5458 HOFFNER AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2518
Practice Address - Country:US
Practice Address - Phone:407-737-4007
Practice Address - Fax:407-737-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001773300OtherFLORIDA MEDICAID