| Outside The Box Aba Consultation, Llc | |
|
14706 Cactus Wren Pl Tampa FL 33625-1904 | |
| (813) 843-2858 | |
| Not Available |
| Full Name | Outside The Box Aba Consultation, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14706 Cactus Wren Pl, Tampa, Florida |
| Authorized Official Name and Position | Stephen Engel (OWNER/DIRECTOR) |
| Authorized Official Contact | 8138432858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside The Box Aba Consultation, Llc 14706 Cactus Wren Pl Tampa FL 33625-1904 Ph: (813) 843-2858 | Outside The Box Aba Consultation, Llc 14706 Cactus Wren Pl Tampa FL 33625-1904 Ph: (813) 843-2858 |
| NPI Number | 1760926398 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760926398 | NPI | - | NPPES |
| 018167200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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