| 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 |
|---|---|
| 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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