| Higher Aspirations Behavior Services, Llc | |
|
10722 Standing Stone Dr Wimauma FL 33598-6163 | |
| (813) 610-5186 | |
| Not Available |
| Full Name | Higher Aspirations Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10722 Standing Stone Dr, Wimauma, Florida |
| Authorized Official Name and Position | Krystal A Jackman (CEO) |
| Authorized Official Contact | 8136105186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Aspirations Behavior Services, Llc Po Box 1564 Riverview FL 33568-1564 Ph: (813) 610-5186 | Higher Aspirations Behavior Services, Llc 10722 Standing Stone Dr Wimauma FL 33598-6163 Ph: (813) 610-5186 |
| NPI Number | 1477900652 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477900652 | NPI | - | NPPES |
| 001289800 | Other | FL | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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