Organization · NPI-2

Applied Behavior Analysis Sports Innovations LLC

Behavior Analyst · Lutz, FL

NPI number1568973147
StatusActive
Last updated in NPPESOct 23, 2017

Details

NPI
1568973147
Entity type
Organization (NPI-2)
Legal business name
Applied Behavior Analysis Sports Innovations LLC
Organization subpart
No
Enumeration date
Oct 23, 2017
Last updated
Oct 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

2907 Cypress Bowl Rd
Lutz, FL 33558-5040

Phone 813-786-0551

Mailing address

2907 Cypress Bowl Rd
Lutz, FL 33558-5040

Authorized official

Mallory Joanne Quinn
Owner
8137860551

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