Provider Demographics
NPI:1497286074
Name:THE WORK STUDIES INSTITUTE,LLC
Entity type:Organization
Organization Name:THE WORK STUDIES INSTITUTE,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS-WOROCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA
Authorized Official - Phone:850-919-3619
Mailing Address - Street 1:415 N RICHARD JACKSON BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-3694
Mailing Address - Country:US
Mailing Address - Phone:850-866-0441
Mailing Address - Fax:850-254-0827
Practice Address - Street 1:8317 FRONT BEACH RD STE 23
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-4893
Practice Address - Country:US
Practice Address - Phone:850-919-3619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102793900Medicaid