Provider Demographics
NPI:1326679341
Name:BEHAVIORAL THERAPEUTIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL THERAPEUTIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LEZLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:813-857-4206
Mailing Address - Street 1:702 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-3070
Mailing Address - Country:US
Mailing Address - Phone:813-857-4206
Mailing Address - Fax:813-857-4206
Practice Address - Street 1:702 SUNSET RD
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-3070
Practice Address - Country:US
Practice Address - Phone:813-857-4206
Practice Address - Fax:813-857-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health