| Aba In The Bay Llc | |
|
8574 Trail Wind Dr Tampa FL 33647-3497 | |
| (714) 450-0317 | |
| Not Available |
| Full Name | Aba In The Bay Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8574 Trail Wind Dr, Tampa, Florida |
| Authorized Official Name and Position | Cecilia Padilla (OWNER) |
| Authorized Official Contact | 7144500317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba In The Bay Llc 8574 Trail Wind Dr Tampa FL 33647-3497 Ph: (714) 450-0317 | Aba In The Bay Llc 8574 Trail Wind Dr Tampa FL 33647-3497 Ph: (714) 450-0317 |
| NPI Number | 1073294401 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073294401 | NPI | - | NPPES |
| 115070200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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