| Fly Above Fundamental Care Inc | |
|
1733 Lake Chapman Dr Unit 102 Brandon FL 33510-4127 | |
| (813) 997-3526 | |
| (844) 423-3234 |
| Full Name | Fly Above Fundamental Care Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1733 Lake Chapman Dr Unit 102, Brandon, Florida |
| Authorized Official Name and Position | Tabitha Denise Taylor (OWNER) |
| Authorized Official Contact | 7252309102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fly Above Fundamental Care Inc 1733 Lake Chapman Dr Unit 102 Brandon FL 33510-4127 Ph: (844) 423-3234 | Fly Above Fundamental Care Inc 1733 Lake Chapman Dr Unit 102 Brandon FL 33510-4127 Ph: (813) 997-3526 |
| NPI Number | 1629678792 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629678792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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