1710402631 PREMIERE BEHAVIORAL SUPPORTS
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- PREMIERE BEHAVIORAL SUPPORTS
- Enumeration Date
- August 11, 2017
- Last Update
- September 15, 2022
- Authorized Official
- JASON GIANSANTI
PRESIDENT
Phone: (856) 861-5448
Practice Location
- Address
- 291 GATEWOOD DR
LARGO, FL 337702902 - Phone
- (352) 995-8861
- Fax
- (856) 599-8300
Mailing Address
- Address
- 404 INDEPENDENCE BLVD
SICKLERVILLE, NJ 080811094 - Phone
- (856) 861-5448
- Fax
- (856) 599-8300
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Behavior Technician | 106S00000X | Behavior Technician | N/A | N/A | No |
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | N/A | N/A | No |
| Adult Companion | 372600000X | Adult Companion | N/A | N/A | No |
| Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Respite Care | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0588164 | 05 | NJ | N/A |
| 114080800 | 05 | FL | N/A |
| 115254900 | 05 | FL | N/A |
Additional Practice Locations
404 Independence Blvd
Sicklerville, NJ 08081
Sicklerville, NJ 08081
Phone: (856) 861-5448
Fax: (856) 599-8300
Digital Endpoints
CONNECT
premierebehavioralsupports.org
Frequently Asked Questions
What is PREMIERE BEHAVIORAL SUPPORTS's NPI number?
PREMIERE BEHAVIORAL SUPPORTS's NPI number is 1710402631.
Which doctor has NPI number 1710402631?
The doctor with NPI number 1710402631 is PREMIERE BEHAVIORAL SUPPORTS.
What is PREMIERE BEHAVIORAL SUPPORTS's practice address?
PREMIERE BEHAVIORAL SUPPORTS's practice address is 291 GATEWOOD DR, LARGO, FL, 337702902.
Which doctor practices at 291 GATEWOOD DR, LARGO, FL, 337702902?
PREMIERE BEHAVIORAL SUPPORTS practices at 291 GATEWOOD DR, LARGO, FL, 337702902.
What is PREMIERE BEHAVIORAL SUPPORTS's mailing address?
PREMIERE BEHAVIORAL SUPPORTS's mailing address is 404 INDEPENDENCE BLVD, SICKLERVILLE, NJ, 080811094.
What is PREMIERE BEHAVIORAL SUPPORTS's phone number?
PREMIERE BEHAVIORAL SUPPORTS's phone number is (352) 995-8861.
Who is (352) 995-8861?
(352) 995-8861 is the phone number for PREMIERE BEHAVIORAL SUPPORTS.
What is PREMIERE BEHAVIORAL SUPPORTS's specialty?
PREMIERE BEHAVIORAL SUPPORTS's specialty is Community/Behavioral Health Agency.
What type of doctor is PREMIERE BEHAVIORAL SUPPORTS?
PREMIERE BEHAVIORAL SUPPORTS is a Community/Behavioral Health Agency.
Is PREMIERE BEHAVIORAL SUPPORTS a Community/Behavioral Health?
Yes, PREMIERE BEHAVIORAL SUPPORTS is a Community/Behavioral Health.
Is PREMIERE BEHAVIORAL SUPPORTS still practicing?
Yes, PREMIERE BEHAVIORAL SUPPORTS is currently practicing.
Is PREMIERE BEHAVIORAL SUPPORTS accepting new patients?
PREMIERE BEHAVIORAL SUPPORTS may be accepting new patients. Please call their office at (352) 995-8861 to inquire about availability.
Is NPI 1710402631 still active?
Yes, NPI 1710402631 is currently active.
Where does PREMIERE BEHAVIORAL SUPPORTS practice?
PREMIERE BEHAVIORAL SUPPORTS practices in LARGO, FL.