Provider Demographics
NPI:1922335405
Name:BEHLING, JOHN NICHOLAS (BCBA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NICHOLAS
Last Name:BEHLING
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15335 SEAROBBIN DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202
Mailing Address - Country:US
Mailing Address - Phone:941-755-1057
Mailing Address - Fax:941-755-1057
Practice Address - Street 1:15335 SEAROBBIN DR
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202
Practice Address - Country:US
Practice Address - Phone:941-755-1057
Practice Address - Fax:941-755-1057
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-10-6954103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst