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NPI Code Detail

MEDICARE: BEHAVIORAL CONSULTING OF TAMPA BAY, INC

MEDICARE: BEHAVIORAL CONSULTING OF TAMPA BAY, 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1851871206
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL CONSULTING OF TAMPA BAY, INC
Provider Business Mailing Address
First Line : 14497 DALE MABRY HIGHWAY
Second Line : STE 115N
City : TAMPA
State : FL
Zip : 33618-2023
Country : US
Telephone Number : 813-814-2000
Fax Number : 813-814-2004
Provider Business Practice Location Address
First Line : 14497 DALE MABRY HIGHWAY
Second Line : STE 115N
City : TAMPA
State : FL
Zip : 33618-2023
Country : US
Telephone Number : 813-814-2000
Fax Number : 813-814-2004
Authorized Official
Title or Position : OWNER
Name : KELLEY PRINCE
Credential : BCBA
Telephone Number : 813-814-2000
Provider Enumeration Date : 08/15/2018
Last Update Date : 08/15/2018

Similar Medicare Providers

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Practice Location Address:
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Practice Phone: 813-814-2000
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1538624515 — VANESSA AURORA MOREJON-CAMPOS
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TAMPA, FL
33618-2023
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Practice Location Address:
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TAMPA, FL
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Practice Location Address:
14497 N DALE MABRY HWY STE 115N
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Directions to “BEHAVIORAL CONSULTING OF TAMPA BAY, INC ” Practice Location

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