Athena Behavior Analysis, Llc

LBN: Athena Behavior Analysis, Llc
Athena Behavior Analysis, Llc is an health care organization with primary practice located at 1230 Fargo Dr , Melbourne FL 32940-6901. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Athena Behavior Analysis, Llc can be contacted via phone (424) 302-3643, or through Gamache, Maureen via phone (424) 302-3643.

Contact Information

Primary practice address
1230 Fargo Dr Melbourne FL 32940-6901
Phone: (424) 302-3643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gamache, Maureen BCBA
Phone: (424) 302-3643

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1629687686
LBN Legal business name Athena Behavior Analysis, Llc
DBA Doing business as
Authorized official Gamache, Maureen BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2020
Last updated Nov 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629687686 NPPES
Florida MEDICAID 105117700

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