| Autism Behavior Therapy Llc | |
|
712 Secret Harbor Ln Unit 102 Lake Mary FL 32746-6497 | |
| (312) 351-1803 | |
| Not Available |
| Full Name | Autism Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 712 Secret Harbor Ln Unit 102, Lake Mary, Florida |
| Authorized Official Name and Position | Bonny Lee Bibel (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 6893088057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavior Therapy Llc 288 Marjorie Blvd Longwood FL 32750-4627 Ph: (689) 308-8057 | Autism Behavior Therapy Llc 712 Secret Harbor Ln Unit 102 Lake Mary FL 32746-6497 Ph: (312) 351-1803 |
| NPI Number | 1528636750 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528636750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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