Provider Demographics
NPI:1942879440
Name:BELIEVE AUTISM BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:BELIEVE AUTISM BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:SHAREE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:704-277-1884
Mailing Address - Street 1:31 W ADAMS ST APT 608
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-3631
Mailing Address - Country:US
Mailing Address - Phone:704-277-1884
Mailing Address - Fax:904-289-2672
Practice Address - Street 1:31 W ADAMS ST APT 608
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-3631
Practice Address - Country:US
Practice Address - Phone:704-277-1884
Practice Address - Fax:904-289-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101509700Medicaid