| Blue Peninsula Aba Inc | |
|
4730 N Habana Ave Ste 303 Tampa FL 33614-7187 | |
| (813) 654-8707 | |
| (813) 640-2153 |
| Full Name | Blue Peninsula Aba Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4730 N Habana Ave Ste 303, Tampa, Florida |
| Authorized Official Name and Position | Carlos Alberto Naranjo Cala (PRESIDENT) |
| Authorized Official Contact | 7868031498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Peninsula Aba Inc 505 Running Horse Rd Seffner FL 33584-4139 Ph: (813) 654-8707 | Blue Peninsula Aba Inc 4730 N Habana Ave Ste 303 Tampa FL 33614-7187 Ph: (813) 654-8707 |
| NPI Number | 1063027126 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063027126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
News Archive
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