| Gulf Coast Aba, Inc. | |
|
8824 39th Street Cir E Parrish FL 34219-2210 | |
| (813) 789-7163 | |
| Not Available |
| Full Name | Gulf Coast Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8824 39th Street Cir E, Parrish, Florida |
| Authorized Official Name and Position | Allana Luquette (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8137897163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Aba, Inc. 8824 39th Street Cir E Parrish FL 34219-2210 Ph: () - | Gulf Coast Aba, Inc. 8824 39th Street Cir E Parrish FL 34219-2210 Ph: (813) 789-7163 |
| NPI Number | 1639552342 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639552342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-05-2326 (Florida) | Primary |
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