Roots Behavior, Llc

LBN: Roots Behavior, Llc
Roots Behavior, Llc is an health care organization with primary practice located at 1510 Oak Dr , Fort Myers FL 33907-2816. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is the primary health care specialty. Roots Behavior, Llc can be contacted via phone (239) 841-9035, or through Martinez, Yashira N via phone (239) 841-9035.

Contact Information

Primary practice address
1510 Oak Dr Fort Myers FL 33907-2816
Phone: (239) 841-9035
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Yashira N
Phone: (239) 841-9035

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1255904157
LBN Legal business name Roots Behavior, Llc
DBA Doing business as
Authorized official Martinez, Yashira N
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2021
Last updated Oct 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255904157 NPPES
Florida MEDICAID 021240200

Popular Providers