Beth Ingram & Associates, LLC
Behavior Analyst in Riverview, FL. Organization (NPI-2).
NPI number1134875545
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1134875545
- Entity type
- Organization (NPI-2)
- Legal business name
- Beth Ingram & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2022
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Other names
- Healthpro Pediatrics (Doing Business As)
Practice location
4015 Crescent Park DrRiverview, FL 33578-3605
Phone 813-492-8686 · Fax 813-492-8479
Mailing address
602 Vonderburg Dr Ste 201Brandon, FL 33511-5900
Authorized official
Vanessa Banks
Director Of Operations
8135082991
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