Provider Demographics
NPI:1659524700
Name:CARRINGTON EVALUATION AND BEHAVIROAL SVCS
Entity Type:Organization
Organization Name:CARRINGTON EVALUATION AND BEHAVIROAL SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:G
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:407-929-7399
Mailing Address - Street 1:2120 N HAMPTON CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1846
Mailing Address - Country:US
Mailing Address - Phone:407-929-7399
Mailing Address - Fax:
Practice Address - Street 1:3001 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3752
Practice Address - Country:US
Practice Address - Phone:407-929-7399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-01
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL34246069001OtherAGENCY FOR PERSONS WITH DISABILITIES
FL685472996Medicaid