Provider Demographics
NPI: | 1417331315 |
---|---|
Name: | ZVORSKY BEHAVIOUR CONSULTANTS, INC |
Entity Type: | Organization |
Organization Name: | ZVORSKY BEHAVIOUR CONSULTANTS, INC |
Other - Org Name: | EASTERN FLORIDA AUTISM CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | BEHAVIOR ANALYST |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | RICHELE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ZVORSKY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 570-449-9794 |
Mailing Address - Street 1: | 703 QUAIL HOLLOW WAY |
Mailing Address - Street 2: | |
Mailing Address - City: | MELBOURNE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32940-1756 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 703 QUAIL HOLLOW WAY |
Practice Address - Street 2: | |
Practice Address - City: | MELBOURNE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32940-1756 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-449-9794 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-07-10 |
Last Update Date: | 2015-07-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty |