MEDICARE: BUMBLE BEES ABA THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1275165417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUMBLE BEES ABA THERAPY INC

Provider Business Mailing Address
First Line	:	26700 SW 142ND AVE APT 202
Second Line	:
City	:	NARANJA
State	:	FL
Zip	:	33032-5403
Country	:	US
Telephone Number	:	305-496-1603
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 W FAIRBANKS AVE STE 209
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4547
Country	:	US
Telephone Number	:	305-496-1603
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LISBET GARCIA
Credential	:
Telephone Number	:	305-496-1603

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	02/05/2020

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