Applied Behavior Approaches Of Tampa Bay Inc | |
18946 North Dale Mabry Lutz FL 33548 | |
(727) 241-0246 | |
(727) 240-4720 |
Full Name | Applied Behavior Approaches Of Tampa Bay Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 18946 North Dale Mabry, Lutz, Florida |
Authorized Official Name and Position | Robin Lane Dehainaut (OWNER; BOARD CERTIFIED BEHAVIOR ANA) |
Authorized Official Contact | 7272410246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Applied Behavior Approaches Of Tampa Bay Inc 1353 Lotus Path Clearwater FL 33756 Ph: (727) 241-0246 | Applied Behavior Approaches Of Tampa Bay Inc 18946 North Dale Mabry Lutz FL 33548 Ph: (727) 241-0246 |
NPI Number | 1174884134 |
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Provider Enumeration Date | 06/06/2012 |
Last Update Date | 08/05/2021 |
Certification Date | 08/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174884134 | NPI | - | NPPES |
017420700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 1-09-5814 (Florida) | Primary |
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