Healthcare Provider Details

I. General information

NPI: 1275165417
Provider Name (Legal Business Name): BUMBLE BEES ABA THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W FAIRBANKS AVE STE 209
WINTER PARK FL
32789-4547
US

IV. Provider business mailing address

26700 SW 142ND AVE APT 202
NARANJA FL
33032-5403
US

V. Phone/Fax

Practice location:
  • Phone: 305-496-1603
  • Fax:
Mailing address:
  • Phone: 305-496-1603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISBET GARCIA
Title or Position: CEO
Credential:
Phone: 305-496-1603