Provider Demographics
NPI:1629420021
Name:MEISSNER, WARREN L (RBT)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:L
Last Name:MEISSNER
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 MONTEEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6676
Mailing Address - Country:US
Mailing Address - Phone:321-890-2230
Mailing Address - Fax:407-988-3511
Practice Address - Street 1:1530 S PRIMROSE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2587
Practice Address - Country:US
Practice Address - Phone:407-988-3510
Practice Address - Fax:407-988-3511
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT15767420872103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst