| Behavior Analysis Support Services, Inc | |
|
5330 Primrose Lake Cir Tampa FL 33647-3589 | |
| (877) 823-4283 | |
| (352) 332-8589 |
| Full Name | Behavior Analysis Support Services, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5330 Primrose Lake Cir, Tampa, Florida |
| Authorized Official Name and Position | John Dennis Adelinis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8778234283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis Support Services, Inc 745 Orienta Ave Ste 1011 Altamonte Springs FL 32701-5675 Ph: (877) 823-4283 | Behavior Analysis Support Services, Inc 5330 Primrose Lake Cir Tampa FL 33647-3589 Ph: (877) 823-4283 |
| NPI Number | 1780308817 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780308817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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