Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premiere Behavioral Supports

Organization Behavior Technician · NPI 1710402631

Premiere Behavioral Supports is a Behavior Technician in Largo, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
5
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Practice location Address checks out

291 Gatewood Dr
Largo, FL 33770-2902
Phone: (352) 995-8861
Fax: (856) 599-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 Independence Blvd, Sicklerville, NJ 08081 — (856) 861-5448

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Behavior Technician Taxonomy 106S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Companion Taxonomy 372600000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1710402631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Giansanti — President · (856) 861-5448
NPI enumeratedAugust 11, 2017
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 14, 2022
Mailing address404 Independence Blvd, Sicklerville, NJ 08081-1094

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