Pediatric Behavioral Health Associates, Inc.

Clinical Social Worker · Belleview, FL

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At a glance

5818 Se Agnew Rd, Belleview, FL 34420-4020

NPPES record updated Mar 20, 2024. Public records can lag behind changes at a practice.

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Practice location

5818 Se Agnew Rd
Belleview, FL 34420-4020
Professional details: NPI, taxonomy & registry record
NPI1861953523
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Mar 26, 2019
Record updated
Mar 20, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Psychologist

103T00000X

Specialty details in registry

103TB0200X

Specialty details in registry

103TC2200X

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

171M00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5818 Se Agnew Rd
Belleview, FL 34420-4020
Phone
(561) 706-1004
Fax
(561) 892-0268
Mailing address
2735 SE 140TH PL

SUMMERFIELD, FL 344912877
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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