Provider Demographics
NPI:1942580949
Name:ALL ABOUT BEHAVIOR, LLC
Entity Type:Organization
Organization Name:ALL ABOUT BEHAVIOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:352-368-2655
Mailing Address - Street 1:410 SE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3741
Mailing Address - Country:US
Mailing Address - Phone:352-368-2655
Mailing Address - Fax:352-629-6806
Practice Address - Street 1:410 SE 11TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-3741
Practice Address - Country:US
Practice Address - Phone:352-368-2655
Practice Address - Fax:352-629-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-03-1403251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL690161196Medicaid
FL690161198Medicaid