MEDICARE: SPRING HEALTH ABA CENTER 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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760150486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING HEALTH ABA CENTER INC

Provider Business Mailing Address
First Line	:	1211 TECH BLVD STE 136
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7845
Country	:	US
Telephone Number	:	813-424-1401
Fax Number	:	844-969-3738

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD STE 136
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7845
Country	:	US
Telephone Number	:	813-424-1401
Fax Number	:	844-969-3738

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUAN CARLOS ALONSO GONZALEZ
Credential	:
Telephone Number	:	561-350-8592

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	03/09/2026

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