| Applied Behavior Analysis Sports Innovations Llc | |
|
2907 Cypress Bowl Rd Lutz FL 33558-5040 | |
| (813) 786-0551 | |
| Not Available |
| Full Name | Applied Behavior Analysis Sports Innovations Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2907 Cypress Bowl Rd, Lutz, Florida |
| Authorized Official Name and Position | Mallory Joanne Quinn (OWNER) |
| Authorized Official Contact | 8137860551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavior Analysis Sports Innovations Llc 2907 Cypress Bowl Rd Lutz FL 33558-5040 Ph: () - | Applied Behavior Analysis Sports Innovations Llc 2907 Cypress Bowl Rd Lutz FL 33558-5040 Ph: (813) 786-0551 |
| NPI Number | 1568973147 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568973147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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