<Unavail>
LBN: Ivy Behavioral Group Inc
<Unavail> is an health care organization with primary practice located at 2336 Se Ocean Blvd # 167 , Stuart FL 34996-3310. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Ivy Behavioral Group Inc can be contacted via phone (772) 208-0071, or through Ivy, Emily Gosser via phone (772) 208-0071.
Contact Information
Primary practice address
2336 Se Ocean Blvd # 167
Stuart FL 34996-3310
Phone: (772) 208-0071
Fax: (772) 213-9558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | 1-12-11892 | Florida |
Profile Details
| NPI number | 1851890628 |
|---|---|
| LBN Legal business name | Ivy Behavioral Group Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Ivy, Emily Gosser BCBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2018 |
| Last updated | May 6th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851890628 | NPPES |
| Florida | MEDICAID | 023921300 |
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