Healthcare Provider Details

I. General information

NPI: 1265346712
Provider Name (Legal Business Name): MAKING WAVES ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 WISHING ARCH DR
APOLLO BEACH FL
33572-3466
US

IV. Provider business mailing address

235 APOLLO BEACH BLVD UNIT 102
APOLLO BEACH FL
33572-2251
US

V. Phone/Fax

Practice location:
  • Phone: 813-489-9869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: APRIL HURLEY
Title or Position: OWNER
Credential: BCBA
Phone: 813-489-9869