| NPI | 1639793326 |
|---|---|
| Doing Business As | ADVANCD BEHAVIORAL CLINICIANS |
| Entity Type | Organization |
| Authorized Contact | ADAIR LYNNE DEICKE Owner/CEO 727-239-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-08-26 |