Provider Demographics
NPI:1881987840
Name:D3 DATA DRIVEN DECISIONS
Entity type:Organization
Organization Name:D3 DATA DRIVEN DECISIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLWOCK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:772-545-2649
Mailing Address - Street 1:2740 SW MARTIN DOWNS BLVD # 349
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-6046
Mailing Address - Country:US
Mailing Address - Phone:772-545-2649
Mailing Address - Fax:772-545-2649
Practice Address - Street 1:8416 SE MAY TER
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-7215
Practice Address - Country:US
Practice Address - Phone:772-545-2649
Practice Address - Fax:772-545-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health