Healthcare Provider Details

I. General information

NPI: 1518300524
Provider Name (Legal Business Name): A.W.C. AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6811 S SHERIDAN RD
TAMPA FL
33611-5215
US

IV. Provider business mailing address

6811 S SHERIDAN RD
TAMPA FL
33611-5215
US

V. Phone/Fax

Practice location:
  • Phone: 321-624-8657
  • Fax:
Mailing address:
  • Phone: 321-624-8657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1021041
License Number StateFL

VIII. Authorized Official

Name: DR. ARTHUR W CHANNER
Title or Position: PRESIDENT
Credential: PSY.D., BCBA-D
Phone: 321-624-8657