Provider Demographics
NPI:1265918692
Name:A BEHAVIORAL APPROACH INC
Entity type:Organization
Organization Name:A BEHAVIORAL APPROACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:FELDER
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:239-333-7867
Mailing Address - Street 1:149 WANATAH AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-7139
Mailing Address - Country:US
Mailing Address - Phone:239-333-7841
Mailing Address - Fax:239-491-2353
Practice Address - Street 1:149 WANATAH AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33974-7139
Practice Address - Country:US
Practice Address - Phone:239-333-7841
Practice Address - Fax:239-491-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1107538103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019737900Medicaid