PHOENIX BEHAVIOR SERVICES, LLC
Behavior Analysts at Ridgewood Dr, Clearwater, FL

License number
Florida PY7438
Category
Behavior Analysts
Type
Cognitive & Behavioral
Owner
Name: DR. LESLIE CASE
Title: PRESIDENT
Phone: (727) 736-3496
Address
Address
1944 Ridgewood Dr, Clearwater, FL 33763
National Provider ID: 1083770564
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHOENIX BEHAVIOR SERVICES, LLC

1944 Ridgewood Dr, Clearwater, FL 33763

Industry:
Services-Misc
Registration:
Apr 12, 2004
State ID:
L04000027089
Business type:
Florida Limited Liability Company
Managing Member:
Leslie L Case (Managing Member), 1944 Ridgewood Dr, Clearwater, FL 33763 (Physical)
Agent:
Leslie Case,1944 Ridgewood Dr, Clearwater, FL 33763 (Physical)
EIN:
34-1990176

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