Provider Demographics
NPI:1699434035
Name:BEHAVIORAL SOLUTIONS: CONNECT. LEARN. ACHIEVE., LLC
Entity type:Organization
Organization Name:BEHAVIORAL SOLUTIONS: CONNECT. LEARN. ACHIEVE., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ABA
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEASURE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:904-304-2730
Mailing Address - Street 1:30316 BIRDHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-1350
Mailing Address - Country:US
Mailing Address - Phone:904-304-2730
Mailing Address - Fax:
Practice Address - Street 1:30316 BIRDHOUSE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-1350
Practice Address - Country:US
Practice Address - Phone:904-304-2730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health