| Autism Solutions Of Tampa Bay Llc | |
|
2905 Mossy Timber Trl Valrico FL 33596-7949 | |
| (813) 643-9669 | |
| Not Available |
| Full Name | Autism Solutions Of Tampa Bay Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2905 Mossy Timber Trl, Valrico, Florida |
| Authorized Official Name and Position | Anthony R Pawlisz (CEO) |
| Authorized Official Contact | 8136439669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Solutions Of Tampa Bay Llc 2905 Mossy Timber Trl Valrico FL 33596-7949 Ph: (813) 643-9669 | Autism Solutions Of Tampa Bay Llc 2905 Mossy Timber Trl Valrico FL 33596-7949 Ph: (813) 643-9669 |
| NPI Number | 1578963120 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578963120 | NPI | - | NPPES |
| 016104300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | L14000134355 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | L14000134355 (Florida) | Primary |
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