| Celebrate Success Aba, Llc | |
|
11850 Mlk Jr St N Apt 1105 St Petersburg FL 33716-1621 | |
| (813) 727-6802 | |
| Not Available |
| Full Name | Celebrate Success Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11850 Mlk Jr St N Apt 1105, St Petersburg, Florida |
| Authorized Official Name and Position | Michelle Taylor (OWNER) |
| Authorized Official Contact | 8137276802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrate Success Aba, Llc 11850 Mlk Jr St N Apt 1105 St Petersburg FL 33716-1621 Ph: (813) 727-6802 | Celebrate Success Aba, Llc 11850 Mlk Jr St N Apt 1105 St Petersburg FL 33716-1621 Ph: (813) 727-6802 |
| NPI Number | 1831764810 |
|---|---|
| Provider Enumeration Date | 05/23/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831764810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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