Provider Demographics
NPI:1477957892
Name:BEHAVIOR MATTERS ABA LLC
Entity Type:Organization
Organization Name:BEHAVIOR MATTERS ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:BURKHALTER
Authorized Official - Last Name:BOATNER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:850-723-9636
Mailing Address - Street 1:1510 AIRPORT BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8639
Mailing Address - Country:US
Mailing Address - Phone:850-723-9636
Mailing Address - Fax:888-282-6913
Practice Address - Street 1:1510 AIRPORT BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8639
Practice Address - Country:US
Practice Address - Phone:850-723-9636
Practice Address - Fax:888-282-6913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty