Provider Demographics
NPI:1740541838
Name:SYSTEMATIC BUSINESS SOLUTIONS
Entity type:Organization
Organization Name:SYSTEMATIC BUSINESS SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KONDASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-720-3996
Mailing Address - Street 1:275 MURCIA DR
Mailing Address - Street 2:APT 302
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2748
Mailing Address - Country:US
Mailing Address - Phone:321-720-3996
Mailing Address - Fax:
Practice Address - Street 1:1080 E INDIANTOWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5100
Practice Address - Country:US
Practice Address - Phone:321-720-3996
Practice Address - Fax:186-695-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1020909103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty