Beacon Pediatric Behavioral Health

LBN: Beacon Pediatric Behavioral Health
Beacon Pediatric Behavioral Health is an health care organization with primary practice located at 6816 Southpoint Pkwy Ste 202 , Jacksonville FL 32216-1701. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Beacon Pediatric Behavioral Health can be contacted via phone (904) 419-7792, or through King, Adrienne Leigh Desantis via phone (904) 419-7792.

Contact Information

Primary practice address
6816 Southpoint Pkwy Ste 202 Jacksonville FL 32216-1701
Phone: (904) 419-7792
Fax: (904) 900-7732
Website:
Map and Directions
Authorized official contact:
Name: King, Adrienne Leigh Desantis PHD, BCBA-D, NCSP
Phone: (904) 419-7792

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1770838872
LBN Legal business name Beacon Pediatric Behavioral Health
DBA Doing business as
Authorized official King, Adrienne Leigh Desantis PHD, BCBA-D, NCSP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2012
Last updated Jun 16th, 2018 - about 8 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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