| Tavistock Advancement Group Llc | |
|
360 Central Ave Ste 800 St Petersburg FL 33701-3984 | |
| (727) 248-5600 | |
| Not Available |
| Full Name | Tavistock Advancement Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 360 Central Ave Ste 800, St Petersburg, Florida |
| Authorized Official Name and Position | Kevin Llaguno (MANAGER) |
| Authorized Official Contact | 7272485600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavistock Advancement Group Llc 360 Central Ave Ste 800 St Petersburg FL 33701-3984 Ph: (727) 248-5600 | Tavistock Advancement Group Llc 360 Central Ave Ste 800 St Petersburg FL 33701-3984 Ph: (727) 248-5600 |
| NPI Number | 1861254922 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861254922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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