| Advance Behavior Support Llc | |
|
138 E Bloomingdale Ave Ste 2 Brandon FL 33511-8101 | |
| (813) 316-5625 | |
| (813) 433-5479 |
| Full Name | Advance Behavior Support Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 138 E Bloomingdale Ave Ste 2, Brandon, Florida |
| Authorized Official Name and Position | Belen Morales (OWNER) |
| Authorized Official Contact | 8133165625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Behavior Support Llc 138 E Bloomingdale Ave Ste 2 Brandon FL 33511-8101 Ph: (813) 316-5625 | Advance Behavior Support Llc 138 E Bloomingdale Ave Ste 2 Brandon FL 33511-8101 Ph: (813) 316-5625 |
| NPI Number | 1437797826 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437797826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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