| Applied Behavioral Learning Experiences, Inc | |
|
454 W Pipkin Rd Lakeland FL 33813-2545 | |
| (863) 619-2809 | |
| (863) 646-9590 |
| Full Name | Applied Behavioral Learning Experiences, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 454 W Pipkin Rd, Lakeland, Florida |
| Authorized Official Name and Position | Stacey Lyn Osmon (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8635811583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavioral Learning Experiences, Inc Po Box 2112 Lakeland FL 33806-2112 Ph: (863) 581-1583 | Applied Behavioral Learning Experiences, Inc 454 W Pipkin Rd Lakeland FL 33813-2545 Ph: (863) 619-2809 |
| NPI Number | 1760627905 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760627905 | NPI | - | NPPES |
| 017634700 | Medicaid | FL | |
| 687700196 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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