Healthcare Provider Details

I. General information

NPI: 1699612036
Provider Name (Legal Business Name): BIG SISTER APPLIED BEHAVIOR ANALYSIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S ORANGE AVE
ARCADIA FL
34266-3945
US

IV. Provider business mailing address

2713 SE HIGHWAY 70 STE 115
ARCADIA FL
34266-5665
US

V. Phone/Fax

Practice location:
  • Phone: 863-245-2942
  • Fax:
Mailing address:
  • Phone: 863-245-2942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TYRONDA ONESHA SCARBROUGH
Title or Position: OWNER/ MANAGING MEMBER
Credential:
Phone: 863-245-2942