Provider Demographics
NPI:1891337085
Name:POP BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:POP BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:OCANA
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCM
Authorized Official - Phone:407-202-2220
Mailing Address - Street 1:1590 TROPIC PARK DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-6323
Mailing Address - Country:US
Mailing Address - Phone:407-202-2220
Mailing Address - Fax:407-369-4307
Practice Address - Street 1:1590 TROPIC PARK DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-6323
Practice Address - Country:US
Practice Address - Phone:407-202-2220
Practice Address - Fax:407-369-4307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty