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National Mentor Healthcare Network
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1013093616

National Mentor Healthcare Network is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Boston, FL. National Mentor Healthcare Network practices in Jacksonville, FL. The NPI Number for National Mentor Healthcare Network is 1013093616 and holds a License No. (Florida).

The current practice location address for National Mentor Healthcare Network is 4550 Ricker Rd, Jacksonville, FL and can be reached out via phone at 904-778-0935 and via fax at 904-778-8396. You can also correspond with National Mentor Healthcare Network through the mailing address at 313 CONGRESS ST, BOSTON, MA - 02210-1218 (mailing address contact number: 800-388-5150).

Location: 4550 Ricker Rd, Jacksonville, FL, 02210-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013093616
Provider Name
National Mentor Healthcare Network
Credential
Provider Entity Type
Organization
Address
4550 Ricker Rd, Jacksonville, FL, 02210-1218
Phone Number
904-778-0935
Fax Number
904-778-8396
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018500800 05 FL
031258400 05 FL
institution
Provider Business Practice Location Address Details
Address
4550 Ricker Rd
City
Jacksonville
State
Florida
Zip
32210-6308
Phone Number
904-778-0935
Fax Number
904-778-8396
person
Provider Business Mailing Address Details
Address
313 Congress St
City
Boston
State
Massachusetts
Zip
02210-1218
Phone Number
800-388-5150
Fax Number
617-790-4271
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
4060096 (Florida)
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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