Organization · NPI-2
Applied Behavior Approaches Of Tampa Bay INC
Community/Behavioral Health · Lutz, FL
NPI number1174884134
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1174884134
- Entity type
- Organization (NPI-2)
- Legal business name
- Applied Behavior Approaches Of Tampa Bay INC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2012
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1-09-5814 | FL | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
18946 North Dale MabryLutz, FL 33548
Phone 727-241-0246 · Fax 727-240-4720
Mailing address
1353 Lotus PathClearwater, FL 33756
Phone 727-241-0246 · Fax 727-240-4720
Authorized official
Robin Lane Dehainaut
Owner; Board Certified Behavior Ana
7272410246
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