Provider Demographics
NPI:1972867802
Name:BEHAVIOR & SPEECH INNOVATIONS
Entity Type:Organization
Organization Name:BEHAVIOR & SPEECH INNOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALCESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-252-4651
Mailing Address - Street 1:PO BOX 2998
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-2998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 QUAYSIDE CIR
Practice Address - Street 2:301
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5788
Practice Address - Country:US
Practice Address - Phone:407-252-4651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency