MEDICARE: ABA PATH LLC

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

General Provider Information

NPI Number	:	1962186619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA PATH LLC

Provider Business Mailing Address
First Line	:	8103 BAY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-9732
Country	:	US
Telephone Number	:	813-842-6227
Fax Number	:

Provider Business Practice Location Address
First Line	:	210A S MACDILL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3131
Country	:	US
Telephone Number	:	813-842-6227
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIN HAMILTON
Credential	:	BCBA
Telephone Number	:	813-842-6227

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	06/13/2023

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Directions to “ABA PATH LLC ” Practice Location

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