My Behavior Analyst INC
Behavior Analyst in Tampa, FL. Organization (NPI-2).
NPI number1629692017
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1629692017
- Entity type
- Organization (NPI-2)
- Legal business name
- My Behavior Analyst INC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2020
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
8040 Praise DrTampa, FL 33625-3744
Phone 773-454-1571 · Fax 813-688-0528
Mailing address
8040 Praise DrTampa, FL 33625-3744
Phone 773-454-1571 · Fax 813-688-0528
Authorized official
Farah Zahira Bacchus
President
7734541571
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