| Love 4 Life Aba Llc. | |
|
6608 S West Shore Blvd Apt 2224 Tampa FL 33616-1563 | |
| (321) 225-9725 | |
| Not Available |
| Full Name | Love 4 Life Aba Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6608 S West Shore Blvd Apt 2224, Tampa, Florida |
| Authorized Official Name and Position | Latasha Michelle Rixter (OWNER) |
| Authorized Official Contact | 3212259725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love 4 Life Aba Llc. 356 Mckay Blvd Sanford FL 32771-1504 Ph: (321) 225-9725 | Love 4 Life Aba Llc. 6608 S West Shore Blvd Apt 2224 Tampa FL 33616-1563 Ph: (321) 225-9725 |
| NPI Number | 1083263123 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083263123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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