Provider Demographics
NPI:1801367693
Name:EDNA BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:EDNA BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULTARI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,BCBA
Authorized Official - Phone:321-231-4230
Mailing Address - Street 1:94 SAN BLAS AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-6626
Mailing Address - Country:US
Mailing Address - Phone:321-231-4230
Mailing Address - Fax:407-744-0167
Practice Address - Street 1:7230 WESTPOINTE BLVD APT 1213
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6129
Practice Address - Country:US
Practice Address - Phone:321-231-4230
Practice Address - Fax:407-744-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty