Provider Demographics
NPI:1669825329
Name:DIRECT BEHAVIORAL STRATEGIES LLC
Entity Type:Organization
Organization Name:DIRECT BEHAVIORAL STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:407-968-8349
Mailing Address - Street 1:1717 GRAND RUE DR
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-2427
Mailing Address - Country:US
Mailing Address - Phone:407-968-8349
Mailing Address - Fax:
Practice Address - Street 1:125 S SWOOPE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5784
Practice Address - Country:US
Practice Address - Phone:407-968-8349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty