| B&g Aba Support, Llc | |
|
8404 Wilsky Blvd Ste 105 Tampa FL 33615-1515 | |
| (813) 304-0777 | |
| (813) 433-5479 |
| Full Name | B&g Aba Support, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8404 Wilsky Blvd Ste 105, Tampa, Florida |
| Authorized Official Name and Position | Belen L Morales Carvajal (ADMINISTRATOR) |
| Authorized Official Contact | 8133040777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B&g Aba Support, Llc 8404 Wilsky Blvd Ste 105 Tampa FL 33615-1515 Ph: (813) 304-0777 | B&g Aba Support, Llc 8404 Wilsky Blvd Ste 105 Tampa FL 33615-1515 Ph: (813) 304-0777 |
| NPI Number | 1811543085 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811543085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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