| The Behavioral Mom, Inc | |
|
1107 Crimson Clover Ln Wesley Chapel FL 33543-6592 | |
| (813) 260-4913 | |
| (813) 756-1093 |
| Full Name | The Behavioral Mom, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1107 Crimson Clover Ln, Wesley Chapel, Florida |
| Authorized Official Name and Position | Laura L Kulikowski (PRESIDENT) |
| Authorized Official Contact | 8132604913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavioral Mom, Inc 1107 Crimson Clover Ln Wesley Chapel FL 33543-6592 Ph: (813) 260-4913 | The Behavioral Mom, Inc 1107 Crimson Clover Ln Wesley Chapel FL 33543-6592 Ph: (813) 260-4913 |
| NPI Number | 1245583533 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245583533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-10039 (Florida) | Primary |
| 222Q00000X | Developmental Therapist | (Florida) | Secondary |
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