Provider Demographics
NPI:1659759629
Name:STRONG FOUNDATIONS BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:STRONG FOUNDATIONS BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:850-602-7057
Mailing Address - Street 1:1476 KING RAIL LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8770
Mailing Address - Country:US
Mailing Address - Phone:850-602-7057
Mailing Address - Fax:
Practice Address - Street 1:1476 KING RAIL LN
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8770
Practice Address - Country:US
Practice Address - Phone:850-602-7057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-11906103K00000X
FL1-12-12210103K00000X
FL1-12-10171103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1366796708OtherINDIVIDUAL NPI
FL1366716763OtherINDIVIDUAL NPI
1780938191OtherINDIVIDUAL NPI