Organization · NPI-2

Applied Behavioral Learning Experiences, INC

Community/Behavioral Health · Lakeland, FL

NPI number1760627905
StatusActive
Last updated in NPPESAug 22, 2022

Details

NPI
1760627905
Entity type
Organization (NPI-2)
Legal business name
Applied Behavioral Learning Experiences, INC
Organization subpart
No
Enumeration date
Dec 2, 2008
Certification date
Aug 22, 2022
Last updated
Aug 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
261Q00000X Clinic/Center––

Practice location

454 W Pipkin Rd
Lakeland, FL 33813-2545

Phone 863-619-2809 · Fax 863-646-9590

Mailing address

Po Box 2112
Lakeland, FL 33806-2112

Phone 863-581-1583 · Fax 863-644-9590

Other practice locations

145 E Edgewood Dr
Lakeland, FL 33803-4014

Phone 863-619-2809 · Fax 863-644-9590

Authorized official

Stacey Lyn Osmon
Behavior Analyst
8635811583

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