| NPI | 1316507536 |
|---|---|
| Doing Business As | BEHAVIOR COACH, PLLC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE NEYSA BUCKLE Owner 727-389-1667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |