Provider Demographics
NPI:1124725072
Name:BEHAVIOR QUEST LLC
Entity type:Organization
Organization Name:BEHAVIOR QUEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-463-4999
Mailing Address - Street 1:5345 HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32571-1529
Mailing Address - Country:US
Mailing Address - Phone:850-463-4999
Mailing Address - Fax:
Practice Address - Street 1:5345 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1529
Practice Address - Country:US
Practice Address - Phone:850-463-4999
Practice Address - Fax:850-361-3443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIOR QUEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-10
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty