| Professional Behavior Analysis Inc | |
|
504 E Baker St Ste 1 Plant City FL 33563-3558 | |
| (813) 704-6297 | |
| (813) 200-1271 |
| Full Name | Professional Behavior Analysis Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 504 E Baker St Ste 1, Plant City, Florida |
| Authorized Official Name and Position | Luisa Maria Hernandez Lopez (PRESIDENT) |
| Authorized Official Contact | 3057640561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Behavior Analysis Inc 504 E Baker St Ste 1 Plant City FL 33563-3558 Ph: (813) 704-6297 | Professional Behavior Analysis Inc 504 E Baker St Ste 1 Plant City FL 33563-3558 Ph: (813) 704-6297 |
| NPI Number | 1760067086 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760067086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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